FREDERICK JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057411

License Status

NOT RENEWED

Business

First Name

FREDERICK

Last Name

JOHNSON

Suffix

Business Name

FREDERICK JOHNSON MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/1999

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006