RYAN EDWARD JOHNSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079046

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

EDWARD

Last Name

JOHNSON

Business Name

RYAN EDWARD JOHNSON DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/06/2024