NICHOLAS BRADFORD JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057673

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

BRADFORD

Last Name

JOHNSON

Business Name

NICHOLAS BRADFORD JOHNSON MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

AUGUSTA

State

Zip

30909

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/07/2013