BETH A JOHNSON - Medical Doctor License in Wisconsin | # 036100914

BETH A JOHNSON

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100914

License Status

NOT RENEWED

Business

N

First Name

BETH

Middle

A

Last Name

JOHNSON

Business Name

BETH A JOHNSON

Original Issue Date

08/06/1999

Effective Date

08/06/1999

Expiration Date

07/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006