ANDREW R JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038493

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

Last Name

JOHNSON

Business Name

ANDREW R JOHNSON MD

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

06/30/2003

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006