MARC C JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123987

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

Last Name

JOHNSON

Business Name

MARC C JOHNSON MD

Original Issue Date

07/13/2009

Effective Date

07/13/2009

Expiration Date

07/31/2011

City

MARYVILLE

State

Zip

47630

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2011