COLEEN LATOYA JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066897

License Status

EXPIRED

Business

Title

First Name

COLEEN

Middle

LATOYA

Last Name

JOHNSON

Business Name

COLEEN LATOYA JOHNSON MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018