SALLY ANNE JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051414

License Status

EXPIRED

Business

First Name

SALLY

Middle

ANNE

Last Name

JOHNSON

Suffix

Business Name

SALLY ANNE JOHNSON DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008