RONALD M JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042571

License Status

NOT RENEWED

Business

First Name

RONALD M

Last Name

JOHNSON

Suffix

Business Name

RONALD M JOHNSON MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006