GLEN C JOHNSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020409

License Status

EXPIRED

Business

First Name

GLEN C

Last Name

JOHNSON

Business Name

GLEN C JOHNSON

Original Issue Date

01/24/1987

Effective Date

01/24/1987

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006