BRANTLEY METTANE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036018715

License Status

NOT RENEWED

Business

First Name

BRANTLEY METTANE

Last Name

JOHNSON

Suffix

Business Name

BRANTLEY METTANE JOHNSON MD

Original Issue Date

11/18/1930

Effective Date

11/18/1930

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006