SHELLY L JOHNSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119569

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

JOHNSEN

Suffix

Business Name

SHELLY L JOHNSEN MD

Original Issue Date

10/18/2007

Effective Date

03/26/2020

Expiration Date

07/31/2023

City

DOWNERS GROVE

State

Zip

60515

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2009005520

Action

Reprimand

Discipline Start Date

03/26/2010

Discipline Reason

after being disciplined in the state of Wisconsin.