CAMILLE ANDREA JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076268

License Status

CANCELLED

Business

Title

First Name

CAMILLE

Middle

ANDREA

Last Name

JOHNSON

Business Name

CAMILLE ANDREA JOHNSON MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/27/2020