KRISTA M JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

Last Name

JOHNSON

Business Name

KRISTA M JOHNSON

Original Issue Date

04/17/1998

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014