RANDY MICHAEL JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045538

License Status

EXPIRED

Business

First Name

RANDY

Middle

MICHAEL

Last Name

JOHNSON

Suffix

Business Name

RANDY MICHAEL JOHNSON MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006