DOUGLAS MARK JOHNSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134695

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

MARK

Last Name

JOHNSON

Business Name

DOUGLAS MARK JOHNSON DO

Original Issue Date

02/27/2014

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017