KRISTINA ANN JOHNSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059872

License Status

CANCELLED

Business

Title

First Name

KRISTINA

Middle

ANN

Last Name

JOHNSON

Business Name

KRISTINA ANN JOHNSON DO

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014