HEATHER ANNE BOUMA-JOHNSTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076634

License Status

EXPIRED

Business

Title

First Name

HEATHER

Middle

ANNE

Last Name

BOUMA-JOHNSTON

Business Name

HEATHER ANNE BOUMA-JOHNSTON MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/30/2024