CHARLES D JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103326

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

JOHNSON

Business Name

CHARLES D JOHNSON

Original Issue Date

08/23/2000

Effective Date

08/23/2000

Expiration Date

07/31/2005

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/17/2007