NICHOLAS BRADFORD JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130774

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

BRADFORD

Last Name

JOHNSON

Business Name

NICHOLAS BRADFORD JOHNSON MD

Original Issue Date

07/09/2012

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017