DIRK CYRUS JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041910

License Status

EXPIRED

Business

First Name

DIRK

Middle

CYRUS

Last Name

JOHNSON

Suffix

Business Name

DIRK CYRUS JOHNSON MD

Original Issue Date

06/23/2000

Effective Date

06/23/2000

Expiration Date

06/22/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006