JOHNNY EDWARD BATES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160307

License Status

ACTIVE

Business

Title

First Name

JOHNNY

Middle

EDWARD

Last Name

BATES

Business Name

JOHNNY EDWARD BATES MD

Original Issue Date

04/19/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BIRMINGHAM

State

Zip

35242

Ever Disciplined

LastModifiedDate

04/11/2023