JESSICA NICOLE JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

JESSICA

Middle

NICOLE

Last Name

JOHNSON

Business Name

JESSICA NICOLE JOHNSON MD

Original Issue Date

09/01/2023

Effective Date

09/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/01/2023