MILES MCHANEY JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110426

License Status

INACTIVE

Business

First Name

MILES

Middle

MCHANEY

Last Name

JOHNSON

Suffix

Business Name

MILES MCHANEY JOHNSON MD

Original Issue Date

11/07/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FAYETTEVILLE

State

Zip

72703

Ever Disciplined

LastModifiedDate

04/20/2009