TRYSTAIN D JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119059

License Status

NOT RENEWED

Business

First Name

TRYSTAIN D

Last Name

JOHNSON

Suffix

Business Name

TRYSTAIN D JOHNSON MD

Original Issue Date

07/24/2007

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

LAKEWOOD

State

Zip

80401

County

COLORADO

Ever Disciplined

LastModifiedDate

11/17/2014