ROGER KERMIT JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052981

License Status

NOT RENEWED

Business

First Name

ROGER KERMIT

Last Name

JOHNSON

Suffix

Business Name

ROGER KERMIT JOHNSON MD

Original Issue Date

07/15/1976

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/23/2012