MARY ELIZABETH KING JOHNSON - Physician Assistant License in Missouri | # 085003419

MARY ELIZABETH KING JOHNSON

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003419

License Status

INACTIVE

Business

N

First Name

MARY

Middle

ELIZABETH KING

Last Name

JOHNSON

Business Name

MARY ELIZABETH KING JOHNSON

Original Issue Date

01/29/2009

Effective Date

03/18/2010

Expiration Date

03/01/2012

State

MO

Ever Disciplined

N

LastModifiedDate

01/12/2012