RYAN BRUCE JOHNSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081706

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

BRUCE

Last Name

JOHNSON

Business Name

RYAN BRUCE JOHNSON DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/12/2023