LAURENS F JOHANSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021804

License Status

EXPIRED

Business

First Name

LAURENS

Middle

Last Name

JOHANSEN

Suffix

Business Name

LAURENS F JOHANSEN MD

Original Issue Date

01/13/1988

Effective Date

01/13/1988

Expiration Date

04/15/1991

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/17/2009