The holder whose full name is Johnson, Ricky,come from Chicago Heights IL,hold the Physician license(NO.01054093A) which status is Expired Non-Renewable.
| Name | Johnson, Ricky |
|---|---|
| License Number | 01054093A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Chicago Heights |
| State | IL |