KELLY E JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024066

License Status

EXPIRED

Business

First Name

KELLY E

Last Name

JOHNSON

Suffix

Business Name

KELLY E JOHNSON MD

Original Issue Date

06/13/1989

Effective Date

06/13/1989

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006