MARK AUGUST JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130838

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

AUGUST

Last Name

JOHNSON

Business Name

MARK AUGUST JOHNSON MD

Original Issue Date

07/12/2012

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/15/2023