ASHLEY J FUNK JOHNSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068096

License Status

CANCELLED

Business

Title

First Name

ASHLEY

Middle

J FUNK

Last Name

JOHNSON

Business Name

ASHLEY J FUNK JOHNSON DO

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/28/2016