ANDREW C JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059761

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

Last Name

JOHNSON

Business Name

ANDREW C JOHNSON MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014