NICOLE ALEXIS JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067504

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

ALEXIS

Last Name

JOHNSON

Business Name

NICOLE ALEXIS JOHNSON MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018