HEATHER ANNE BOUMA-JOHNSTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

HEATHER

Middle

ANNE

Last Name

BOUMA-JOHNSTON

Business Name

HEATHER ANNE BOUMA-JOHNSTON MD

Original Issue Date

06/20/2024

Effective Date

06/20/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026