ALFRED JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086206

License Status

ACTIVE

Business

First Name

ALFRED

Last Name

JOHNSON

Suffix

Business Name

ALFRED JOHNSON MD

Original Issue Date

05/18/1993

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/25/2023