BRENDA R PARKS JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

PARKS JOHNSON

Business Name

BRENDA R PARKS JOHNSON

Original Issue Date

07/15/2003

Effective Date

07/02/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011