BRENDA R PARKS JOHNSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042204

License Status

EXPIRED

Business

First Name

BRENDA

Middle

Last Name

PARKS JOHNSON

Business Name

BRENDA R PARKS JOHNSON

Original Issue Date

01/12/2003

Effective Date

01/12/2003

Expiration Date

06/29/2003

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006