TIPHANY DEE JACKSON JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152149

License Status

ACTIVE

Business

Title

First Name

TIPHANY

Middle

DEE

Last Name

JACKSON JOHNSON

Business Name

TIPHANY DEE JACKSON JOHNSON MD

Original Issue Date

03/11/2020

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023