RYAN MICHAEL JOHNSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149916

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

MICHAEL

Last Name

JOHNSON

Business Name

RYAN MICHAEL JOHNSON DO

Original Issue Date

06/22/2019

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/03/2023