STEPHEN ISAAC JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052913

License Status

EXPIRED

Business

Title

First Name

STEPHEN

Middle

ISAAC

Last Name

JOHNSON

Business Name

STEPHEN ISAAC JOHNSON MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010