WENDELL ALLEN JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048587

License Status

NOT RENEWED

Business

First Name

WENDELL ALLEN

Last Name

JOHNSON

Suffix

Business Name

WENDELL ALLEN JOHNSON MD

Original Issue Date

01/08/1974

Effective Date

01/08/1974

Expiration Date

07/01/1982

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006