SIGRID R JOHNSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000297

License Status

EXPIRED

Business

First Name

SIGRID

Middle

Last Name

JOHNSON

Business Name

SIGRID R JOHNSON

Original Issue Date

09/12/1995

Effective Date

09/12/1995

Expiration Date

10/31/1995

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006