MARILANNE JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102003

License Status

NOT RENEWED

Business

First Name

MARILANNE

Last Name

JOHNSON

Business Name

MARILANNE JOHNSON

Original Issue Date

02/18/2000

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021