NILS P JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117931

License Status

NOT RENEWED

Business

First Name

NILS

Middle

Last Name

JOHNSON

Business Name

NILS P JOHNSON

Original Issue Date

03/27/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011