PAUL JEFFREY JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095295

License Status

INACTIVE

Business

First Name

PAUL JEFFREY

Last Name

JOHNSON

Suffix

Business Name

PAUL JEFFREY JOHNSON MD

Original Issue Date

04/10/1997

Effective Date

10/29/2020

Expiration Date

07/31/2023

City

PADUCAH

State

Zip

42001

Ever Disciplined

LastModifiedDate

04/04/2023