ERIC ANTHONY JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068144

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

ANTHONY

Last Name

JOHNSON

Business Name

ERIC ANTHONY JOHNSON MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020