AMANDA LYNN JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073455

License Status

EXPIRED

Business

Title

First Name

AMANDA

Middle

LYNN

Last Name

JOHNSON

Business Name

AMANDA LYNN JOHNSON MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022