CLARK PETER JOHNSON - Podiatrist License in Michigan | # 016003091

CLARK PETER JOHNSON

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003091

License Status

INACTIVE

Business

N

First Name

CLARK PETER

Last Name

JOHNSON

Business Name

CLARK PETER JOHNSON

Original Issue Date

06/27/1979

Effective Date

06/27/1979

Expiration Date

01/31/1989

State

MI

Ever Disciplined

N

LastModifiedDate

09/25/2006