BRENDA R PARKS JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109360

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

PARKS JOHNSON

Business Name

BRENDA R PARKS JOHNSON

Original Issue Date

06/06/2003

Effective Date

07/02/2008

Expiration Date

07/31/2011

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011