WILLIAM T JOHANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060866

License Status

NOT RENEWED

Business

First Name

WILLIAM T

Last Name

JOHANSON

Suffix

Business Name

WILLIAM T JOHANSON MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1996

City

ASHTON

State

Zip

61006

County

LEE

Ever Disciplined

LastModifiedDate

09/20/2006