NINAH PAULINE CLEGG-JOHNSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155099

License Status

ACTIVE

Business

Title

First Name

NINAH

Middle

PAULINE

Last Name

CLEGG-JOHNSON

Business Name

NINAH PAULINE CLEGG-JOHNSON DO

Original Issue Date

12/22/2020

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/16/2023