PATRICIA ANN JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056893

License Status

ACTIVE

Business

First Name

PATRICIA ANN

Last Name

JOHNSON

Suffix

Business Name

PATRICIA ANN JOHNSON MD

Original Issue Date

06/28/1978

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/13/2023