GARY KEITH JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061777

License Status

ACTIVE

Business

First Name

GARY

Middle

KEITH

Last Name

JOHNSON

Suffix

Business Name

GARY KEITH JOHNSON MD

Original Issue Date

02/27/1981

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

GRAND BLANC

State

Zip

48439

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023