NICOLE JANINE JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055020

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

JANINE

Last Name

JOHNSON

Business Name

NICOLE JANINE JOHNSON MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/19/2011