PAUL RYAN JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049750

License Status

EXPIRED

Business

First Name

PAUL

Middle

RYAN

Last Name

JOHNSON

Suffix

Business Name

PAUL RYAN JOHNSON DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2006

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

09/22/2006