NINAH PAULINE CLEGG-JOHNSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070646

License Status

CANCELLED

Business

Title

First Name

NINAH

Middle

PAULINE

Last Name

CLEGG-JOHNSON

Business Name

NINAH PAULINE CLEGG-JOHNSON DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/25/2020