LEWIS JEREMY JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053314

License Status

EXPIRED

Business

First Name

LEWIS

Middle

JEREMY

Last Name

JOHNSON

Suffix

Business Name

LEWIS JEREMY JOHNSON DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

07/31/2008