NICOLE RUTH JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137797

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

RUTH

Last Name

JOHNSON

Business Name

NICOLE RUTH JOHNSON MD

Original Issue Date

04/16/2015

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023