SHELBY LOUISE JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083055

License Status

ACTIVE

Business

Title

First Name

SHELBY

Middle

LOUISE

Last Name

JOHNSON

Business Name

SHELBY LOUISE JOHNSON MD

Original Issue Date

08/21/2023

Effective Date

08/21/2023

Expiration Date

08/20/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/11/2023