MARY JONES JOHNSON Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000512

License Status

EXPIRED

Business

First Name

MARY

Middle

JONES

Last Name

JOHNSON

Business Name

MARY JONES JOHNSON

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006