LISA MICHELLE JOHNSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106342

License Status

INACTIVE

Business

First Name

LISA

Middle

MICHELLE

Last Name

JOHNSON

Business Name

LISA MICHELLE JOHNSON

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

07/31/2002

City

FORT DODGE

State

Zip

50501

County

IOWA

Ever Disciplined

LastModifiedDate

08/14/2007