FREDERICK JOHNSON MD - Medical Doctor License in Indiana | # 036057411

FREDERICK JOHNSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057411

License Status

NOT RENEWED

Business

N

First Name

FREDERICK

Last Name

JOHNSON

Suffix

MD

Business Name

FREDERICK JOHNSON MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/1999

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006