NICKYLA JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140087

License Status

ACTIVE

Business

Title

First Name

NICKYLA

Last Name

JOHNSON

Business Name

NICKYLA JOHNSON MD

Original Issue Date

03/22/2016

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

06/24/2023