JOHN THOMAS JOHNSON SR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109402

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

THOMAS

Last Name

JOHNSON

Suffix

SR DO

Business Name

JOHN THOMAS JOHNSON SR DO

Original Issue Date

06/12/2003

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

DAVENPORT

State

Zip

52801

County

IOWA

Ever Disciplined

LastModifiedDate

11/17/2014