KRISTER M JOHANSSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037223

License Status

EXPIRED

Business

First Name

KRISTER

Middle

Last Name

JOHANSSON

Business Name

KRISTER M JOHANSSON

Original Issue Date

09/10/1997

Effective Date

09/10/1997

Expiration Date

09/08/2000

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006