NICHOLAS T JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117169

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

JOHNSON

Business Name

NICHOLAS T JOHNSON

Original Issue Date

11/13/2006

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

JEFFERSON

State

Zip

30549

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/01/2017