KATHERINE MIRRO JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055286

License Status

EXPIRED

Business

Title

First Name

KATHERINE

Middle

MIRRO

Last Name

JOHNSON

Business Name

KATHERINE MIRRO JOHNSON DO

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

07/28/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/30/2011