JOYCE JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061513

License Status

CANCELLED

Business

Title

First Name

JOYCE

Last Name

JOHNSON

Business Name

JOYCE JOHNSON MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

DIXON

State

Zip

61021

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014