RICHARD KEITH JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112902

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

KEITH

Last Name

JOHNSON

Suffix

Business Name

RICHARD KEITH JOHNSON MD

Original Issue Date

01/14/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MACON

State

Zip

31206

County

GEORGIA

Ever Disciplined

LastModifiedDate

12/04/2014