DOMINIQUE JOHNSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171797

License Status

ACTIVE

Business

Title

First Name

DOMINIQUE

Last Name

JOHNSON

Business Name

DOMINIQUE JOHNSON DO

Original Issue Date

08/30/2024

Effective Date

08/30/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

08/30/2024