RYAN MICHAEL JOHNSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069500

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

MICHAEL

Last Name

JOHNSON

Business Name

RYAN MICHAEL JOHNSON DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

06/02/2016