MEREDITH AMANDA JESSICA JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152793

License Status

ACTIVE

Business

Title

First Name

MEREDITH

Middle

AMANDA JESSICA

Last Name

JOHNSON

Business Name

MEREDITH AMANDA JESSICA JOHNSON MD

Original Issue Date

05/01/2020

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

04/28/2023