VAN JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013440

License Status

EXPIRED

Business

First Name

VAN

Last Name

JOHNSON

Suffix

Business Name

VAN JOHNSON MD

Original Issue Date

08/07/1981

Effective Date

08/07/1981

Expiration Date

07/29/1983

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006