MEREDITH AMANDA JESSICA JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070269

License Status

EXPIRED

Business

Title

First Name

MEREDITH

Middle

AMANDA JESSICA

Last Name

JOHNSON

Business Name

MEREDITH AMANDA JESSICA JOHNSON MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020