JILL MARIE JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062400

License Status

EXPIRED

Business

Title

First Name

JILL

Middle

MARIE

Last Name

JOHNSON

Business Name

JILL MARIE JOHNSON DO

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

07/31/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Sports Medicine

Ever Disciplined

LastModifiedDate

10/07/2013