DANA DAVIDSON JOHNSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126547

License Status

NOT RENEWED

Business

Title

First Name

DANA

Middle

DAVIDSON

Last Name

JOHNSON

Business Name

DANA DAVIDSON JOHNSON DO

Original Issue Date

08/24/2010

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/26/2018