VIETTA L JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094336

License Status

ACTIVE

Business

Title

First Name

VIETTA

Middle

Last Name

JOHNSON

Business Name

VIETTA L JOHNSON MD

Original Issue Date

10/09/1996

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2023