MARTHA ELIZABETH JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054553

License Status

EXPIRED

Business

First Name

MARTHA

Middle

ELIZABETH

Last Name

JOHNSON

Suffix

Business Name

MARTHA ELIZABETH JOHNSON MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011