MATTHEW T JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034500

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

JOHNSON

Suffix

Business Name

MATTHEW T JOHNSON MD

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60628

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006