THOMAS M JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077069

License Status

INACTIVE

Business

First Name

THOMAS M

Last Name

JOHNSON

Suffix

Business Name

THOMAS M JOHNSON MD

Original Issue Date

06/04/1988

Effective Date

06/04/1988

Expiration Date

07/31/2005

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/09/2006