JEFFREY K JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057412

License Status

NOT RENEWED

Business

First Name

JEFFREY K

Last Name

JOHNSON

Suffix

Business Name

JEFFREY K JOHNSON MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006