JOHNNIE LEE BYRD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058640

License Status

EXPIRED

Business

Title

First Name

JOHNNIE

Middle

LEE

Last Name

BYRD

Business Name

JOHNNIE LEE BYRD MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

07/10/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013