MARK CLAYTON JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046414

License Status

EXPIRED

Business

First Name

MARK

Middle

CLAYTON

Last Name

JOHNSON

Suffix

Business Name

MARK CLAYTON JOHNSON MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

08/31/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/19/2007