YETUNDE O JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

YETUNDE

Middle

Last Name

JOHNSON

Suffix

Business Name

YETUNDE O JOHNSON MD

Original Issue Date

06/22/2006

Effective Date

07/03/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020