CLIFFORD B JOHNSON JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030852

License Status

EXPIRED

Business

First Name

CLIFFORD

Middle

Last Name

JOHNSON

Suffix

JR MD

Business Name

CLIFFORD B JOHNSON JR MD

Original Issue Date

04/22/1994

Effective Date

04/22/1994

Expiration Date

06/30/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006