VAN JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067553

License Status

NOT RENEWED

Business

First Name

VAN

Last Name

JOHNSON

Suffix

Business Name

VAN JOHNSON MD

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

07/31/1993

City

ANDERSON

State

Zip

46012

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1990004672

Action

Suspension

Discipline Start Date

10/04/1994

Discipline Reason

Disciplined in Indiana.