JOEL A JOHNSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000311

License Status

EXPIRED

Business

First Name

JOEL

Middle

Last Name

JOHNSON

Business Name

JOEL A JOHNSON

Original Issue Date

04/02/2007

Effective Date

04/02/2007

Expiration Date

10/01/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2007