SAMUEL ROBERT JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082525

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

ROBERT

Last Name

JOHNSON

Business Name

SAMUEL ROBERT JOHNSON MD

Original Issue Date

06/23/2026

Effective Date

06/23/2026

Expiration Date

06/22/2028

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

03/16/2026