KENNETH E JOHNSON JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027114

License Status

EXPIRED

Business

First Name

KENNETH E

Last Name

JOHNSON JR

Suffix

Business Name

KENNETH E JOHNSON JR DO

Original Issue Date

06/06/1991

Effective Date

06/06/1991

Expiration Date

06/20/1994

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006