CRAIG BROCKBANK JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066707

License Status

EXPIRED

Business

Title

First Name

CRAIG

Middle

BROCKBANK

Last Name

JOHNSON

Business Name

CRAIG BROCKBANK JOHNSON DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

08/16/2016