OLAF KENNETH JOHNSON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

OLAF KENNETH

Last Name

JOHNSON JR

Suffix

Business Name

OLAF KENNETH JOHNSON JR MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006