GERALD T JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072938

License Status

INACTIVE

Business

First Name

GERALD T

Last Name

JOHNSON

Suffix

Business Name

GERALD T JOHNSON MD

Original Issue Date

06/19/1986

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014