VANITHA ISAAC JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056436

License Status

EXPIRED

Business

First Name

VANITHA

Middle

ISAAC

Last Name

JOHNSON

Suffix

Business Name

VANITHA ISAAC JOHNSON MD

Original Issue Date

06/15/2009

Effective Date

06/15/2009

Expiration Date

06/14/2010

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/24/2010