KEVIN DARNELL JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065696

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

DARNELL

Last Name

JOHNSON

Business Name

KEVIN DARNELL JOHNSON MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

05/02/2018

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/18/2017