PHILLIP W JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077451

License Status

ACTIVE

Business

First Name

PHILLIP W

Last Name

JOHNSON

Suffix

Business Name

PHILLIP W JOHNSON MD

Original Issue Date

07/20/1988

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/26/2023