LEE L JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038058

License Status

NOT RENEWED

Business

First Name

LEE L

Last Name

JOHNSON

Suffix

Business Name

LEE L JOHNSON MD

Original Issue Date

09/19/1962

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

11/14/2011