JEFF KENT JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043193

License Status

EXPIRED

Business

First Name

JEFF

Middle

KENT

Last Name

JOHNSON

Suffix

Business Name

JEFF KENT JOHNSON DO

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006