DUSTIN KEITH JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130367

License Status

INACTIVE

Business

Title

First Name

DUSTIN

Middle

KEITH

Last Name

JOHNSON

Business Name

DUSTIN KEITH JOHNSON MD

Original Issue Date

05/14/2012

Effective Date

05/14/2012

Expiration Date

07/31/2014

City

SAN FRANCISCO

State

Zip

94107

Ever Disciplined

LastModifiedDate

04/08/2014