NILS P JOHNSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047296

License Status

EXPIRED

Business

First Name

NILS

Middle

Last Name

JOHNSON

Business Name

NILS P JOHNSON

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2007

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007