ROYSE PIERATT JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032287

License Status

INACTIVE

Business

First Name

ROYSE PIERATT

Last Name

JOHNSON

Suffix

Business Name

ROYSE PIERATT JOHNSON MD

Original Issue Date

09/01/1953

Effective Date

09/01/1953

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006