CHARLES LA RUE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048188

License Status

NOT RENEWED

Business

First Name

CHARLES LA RUE

Last Name

JOHNSON

Suffix

Business Name

CHARLES LA RUE JOHNSON MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1984

City

MONUMENT

State

Zip

80132

County

COLORADO

Ever Disciplined

LastModifiedDate

03/27/2007

Case Number

1992007430

Action

Probation

Discipline Start Date

08/30/1993

Discipline End Date

08/21/1997

Discipline Reason

Disciplined in Colorado.