JOHNNY LEE WILLIAMSON IV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035893

License Status

CANCELLED

Business

Title

First Name

JOHNNY

Middle

LEE

Last Name

WILLIAMSON

Suffix

Business Name

JOHNNY LEE WILLIAMSON IV MD

Original Issue Date

05/09/1997

Effective Date

05/09/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006