LARRY WAYNE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054384

License Status

NOT RENEWED

Business

First Name

LARRY WAYNE

Last Name

JOHNSON

Suffix

Business Name

LARRY WAYNE JOHNSON MD

Original Issue Date

03/18/1977

Effective Date

03/18/1977

Expiration Date

07/31/1996

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006