GENE ELVIN JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039586

License Status

NOT RENEWED

Business

First Name

GENE ELVIN

Last Name

JOHNSON

Suffix

Business Name

GENE ELVIN JOHNSON MD

Original Issue Date

03/02/1965

Effective Date

03/02/1965

Expiration Date

07/31/1996

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/20/2006