JADA JARIA JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

JADA

Middle

JARIA

Last Name

JOHNSON

Suffix

Business Name

JADA JARIA JOHNSON MD

Original Issue Date

09/16/2014

Effective Date

09/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020