MARY ANN JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089933

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

JOHNSON

Suffix

Business Name

MARY ANN JOHNSON MD

Original Issue Date

11/16/1994

Effective Date

11/16/1994

Expiration Date

07/31/1996

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006