ANNETTE JEAN JOHNSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104032

License Status

INACTIVE

Business

First Name

ANNETTE

Middle

JEAN

Last Name

JOHNSON

Business Name

ANNETTE JEAN JOHNSON

Original Issue Date

01/12/2001

Effective Date

01/12/2001

Expiration Date

07/31/2005

City

INDIANAPOLIS

State

Zip

46278

County

INDIANA

Ever Disciplined

LastModifiedDate

01/12/2007