JERISA CHATEEN JOHNSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119674

License Status

NOT RENEWED

Business

Title

First Name

JERISA

Middle

CHATEEN

Last Name

JOHNSON

Business Name

JERISA CHATEEN JOHNSON DO

Original Issue Date

11/08/2007

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017