HEATHER ANNE BOUMA-JOHNSTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170327

License Status

ACTIVE

Business

Title

First Name

HEATHER

Middle

ANNE

Last Name

BOUMA-JOHNSTON

Business Name

HEATHER ANNE BOUMA-JOHNSTON MD

Original Issue Date

05/17/2024

Effective Date

05/17/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2024