MARY M JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072038

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

JOHNSON

Suffix

Business Name

MARY M JOHNSON MD

Original Issue Date

11/22/1985

Effective Date

11/22/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006