EARL WAYNE JOHNSON MD - Medical Doctor License in Missouri | # 036039617

EARL WAYNE JOHNSON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039617

License Status

INACTIVE

Business

N

First Name

EARL WAYNE

Last Name

JOHNSON

Suffix

MD

Business Name

EARL WAYNE JOHNSON MD

Original Issue Date

05/25/1965

Effective Date

05/25/1965

Expiration Date

07/31/1987

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006