ANNEKA M JOHNSON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065045

License Status

CANCELLED

Business

First Name

ANNEKA

Middle

Last Name

JOHNSON

Business Name

ANNEKA M JOHNSON

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/06/2015