LOCKE JOHNSON BRYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130227

License Status

NOT RENEWED

Business

Title

First Name

LOCKE

Middle

JOHNSON

Last Name

BRYAN

Business Name

LOCKE JOHNSON BRYAN MD

Original Issue Date

04/30/2012

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017