JERISA CHATEEN JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049751

License Status

EXPIRED

Business

Title

First Name

JERISA

Middle

CHATEEN

Last Name

JOHNSON

Business Name

JERISA CHATEEN JOHNSON DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/30/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2008