LEAH JEAN JOHANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160468

License Status

NOT RENEWED

Business

Title

First Name

LEAH

Middle

JEAN

Last Name

JOHANSEN

Business Name

LEAH JEAN JOHANSEN MD

Original Issue Date

05/03/2022

Effective Date

05/03/2022

Expiration Date

07/31/2023

City

DENVER

State

Zip

80202

Ever Disciplined

LastModifiedDate

11/30/2023