ERIC CARLTON JOHNSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048236

License Status

CANCELLED

Business

First Name

ERIC

Middle

CARLTON

Last Name

JOHNSON

Suffix

Business Name

ERIC CARLTON JOHNSON DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/26/2007