WHITNEY DIEDRICH JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059227

License Status

EXPIRED

Business

Title

First Name

WHITNEY

Middle

DIEDRICH

Last Name

JOHNSON

Business Name

WHITNEY DIEDRICH JOHNSON MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/13/2015