DALE BAMBI JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166901

License Status

ACTIVE

Business

Title

First Name

DALE

Middle

BAMBI

Last Name

JOHNSON

Business Name

DALE BAMBI JOHNSON MD

Original Issue Date

09/06/2023

Effective Date

09/06/2023

Expiration Date

07/31/2026

City

GRASONVILLE

State

Zip

21638

Ever Disciplined

LastModifiedDate

09/06/2023