DEBORAH BEVERLEY JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112435

License Status

INACTIVE

Business

First Name

DEBORAH

Middle

BEVERLEY

Last Name

JOHNSON

Suffix

Business Name

DEBORAH BEVERLEY JOHNSON MD

Original Issue Date

09/27/2004

Effective Date

09/27/2004

Expiration Date

07/31/2005

City

WATERLOO

State

Zip

50701

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006