RYAN DOUGLAS JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125908

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

DOUGLAS

Last Name

JOHNSON

Business Name

RYAN DOUGLAS JOHNSON MD

Original Issue Date

06/03/2010

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

COLORADO SPRINGS

State

Zip

80919

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021