KENNETH M JOHNSON MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****59

NOT RENEWED

N

KENNETH M

JOHNSON

MD

KENNETH M JOHNSON MD

04/21/1989

04/10/2019

09/30/2020

EVANSTON

IL

60202

COOK

II III IV V

N

01/14/2021