DAVID MARTIN JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

DAVID MARTIN

Last Name

JOHNSON

Suffix

Business Name

DAVID MARTIN JOHNSON MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017