MICHAEL R JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026258

License Status

EXPIRED

Business

First Name

MICHAEL R

Last Name

JOHNSON

Suffix

Business Name

MICHAEL R JOHNSON MD

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

06/30/1994

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006