JENNIFER ANNE JOHNSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050847

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

ANNE

Last Name

JOHNSON

Suffix

Business Name

JENNIFER ANNE JOHNSON DO

Original Issue Date

06/22/2006

Effective Date

06/22/2006

Expiration Date

06/21/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/09/2012