The holder whose full name is JOHNSON, KELLY EDWARD,come from CHICAGO IL,hold the Physician license(NO.01041019A) which status is Expired Non-Renewable.
| Name | JOHNSON, KELLY EDWARD |
|---|---|
| License Number | 01041019A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CHICAGO |
| State | IL |