ANNETTE JEAN JOHNSON - Medical Doctor License in Indiana | # 036104032

ANNETTE JEAN JOHNSON

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104032

License Status

INACTIVE

Business

N

First Name

ANNETTE

Middle

JEAN

Last Name

JOHNSON

Business Name

ANNETTE JEAN JOHNSON

Original Issue Date

01/12/2001

Effective Date

01/12/2001

Expiration Date

07/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

01/12/2007