CHARLES TIMOTHY JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095539

License Status

NOT RENEWED

Business

First Name

CHARLES TIMOTHY

Last Name

JOHNSON

Suffix

Business Name

CHARLES TIMOTHY JOHNSON MD

Original Issue Date

05/30/1997

Effective Date

05/30/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/25/2015