KENNETH M JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021232

License Status

EXPIRED

Business

First Name

KENNETH M

Last Name

JOHNSON

Suffix

Business Name

KENNETH M JOHNSON MD

Original Issue Date

06/09/1987

Effective Date

06/09/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006