JODY PATRICK JOHNSEN DO - Medical Doctor License in Michigan | # 036110230

JODY PATRICK JOHNSEN DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110230

License Status

NOT RENEWED

Business

N

First Name

JODY

Middle

PATRICK

Last Name

JOHNSEN

Suffix

DO

Business Name

JODY PATRICK JOHNSEN DO

Original Issue Date

10/06/2003

Effective Date

07/25/2008

Expiration Date

07/31/2011

State

MI

Ever Disciplined

N

LastModifiedDate

02/02/2026