CHARISSE D JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000392

License Status

EXPIRED

Business

First Name

CHARISSE

Middle

Last Name

JOHNSON

Suffix

Business Name

CHARISSE D JOHNSON MD

Original Issue Date

11/01/2009

Effective Date

11/01/2009

Expiration Date

04/30/2010

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/02/2010