DAVID MARTIN JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058089

License Status

NOT RENEWED

Business

First Name

DAVID MARTIN

Last Name

JOHNSON

Suffix

Business Name

DAVID MARTIN JOHNSON MD

Original Issue Date

11/20/1978

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/01/2017