DUSTIN KEITH JOHNSON MD - Medical Doctor License in California | # 036130367

DUSTIN KEITH JOHNSON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130367

License Status

INACTIVE

Business

N

Title

MD

First Name

DUSTIN

Middle

KEITH

Last Name

JOHNSON

Business Name

DUSTIN KEITH JOHNSON MD

Original Issue Date

05/14/2012

Effective Date

05/14/2012

Expiration Date

07/31/2014

State

CA

Ever Disciplined

N

LastModifiedDate

04/08/2014