JEFFREY JOSEPH JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051101

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

JOSEPH

Last Name

JOHNSON

Suffix

Business Name

JEFFREY JOSEPH JOHNSON MD

Original Issue Date

04/07/2009

Effective Date

04/07/2009

Expiration Date

04/06/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

03/18/2009