PEGGY ARLENE JOHNSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139813

License Status

NOT RENEWED

Business

Title

First Name

PEGGY

Middle

ARLENE

Last Name

JOHNSON

Business Name

PEGGY ARLENE JOHNSON DO

Original Issue Date

02/19/2016

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/14/2021