BENJAMIN RICHARD JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065871

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

RICHARD

Last Name

JOHNSON

Business Name

BENJAMIN RICHARD JOHNSON MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/25/2018