DAVID WALLACE JOHNSON MD - Medical Doctor License in Michigan | # 036041132

DAVID WALLACE JOHNSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041132

License Status

NOT RENEWED

Business

N

First Name

DAVID WALLACE

Last Name

JOHNSON

Suffix

MD

Business Name

DAVID WALLACE JOHNSON MD

Original Issue Date

07/07/1967

Effective Date

07/07/1967

State

MI

Ever Disciplined

N

LastModifiedDate

09/20/2006