GREGORY LOUIS JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115494

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

LOUIS

Last Name

JOHNSON

Suffix

Business Name

GREGORY LOUIS JOHNSON MD

Original Issue Date

03/20/2006

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021