BRIAN ALAN JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139494

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

ALAN

Last Name

JOHNSON

Business Name

BRIAN ALAN JOHNSON MD

Original Issue Date

12/15/2015

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

WINAMAC

State

Zip

46996

County

INDIANA

Ever Disciplined

LastModifiedDate

05/04/2023