GRANT STEVEN JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066591

License Status

EXPIRED

Business

Title

First Name

GRANT

Middle

STEVEN

Last Name

JOHNSON

Business Name

GRANT STEVEN JOHNSON DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

11/19/2020