DOUGLAS R JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026963

License Status

EXPIRED

Business

First Name

DOUGLAS R

Last Name

JOHNSON

Suffix

Business Name

DOUGLAS R JOHNSON MD

Original Issue Date

05/28/1991

Effective Date

05/28/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006