JESSICA NICOLE JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074272

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

NICOLE

Last Name

JOHNSON

Business Name

JESSICA NICOLE JOHNSON MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/23/2019