MARK E JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099150

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

JOHNSON

Suffix

Business Name

MARK E JOHNSON MD

Original Issue Date

10/02/1998

Effective Date

10/02/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/29/2014