WILLIAM JOHNSON NGU DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061116

License Status

CANCELLED

Business

Title

First Name

WILLIAM

Middle

JOHNSON

Last Name

NGU

Business Name

WILLIAM JOHNSON NGU DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014