SHAWN MARK JOHNSON MD - Medical Doctor License in Indiana | # 036126002

SHAWN MARK JOHNSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126002

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SHAWN

Middle

MARK

Last Name

JOHNSON

Business Name

SHAWN MARK JOHNSON MD

Original Issue Date

06/09/2010

Effective Date

06/28/2011

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014