TODD DAVID JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077183

License Status

CANCELLED

Business

Title

First Name

TODD

Middle

DAVID

Last Name

JOHNSON

Business Name

TODD DAVID JOHNSON MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/19/2020