ELLEN JOHNSON DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070553

License Status

INACTIVE

Business

First Name

ELLEN

Last Name

JOHNSON

Suffix

Business Name

ELLEN JOHNSON DO

Original Issue Date

05/21/1985

Effective Date

05/21/1985

Expiration Date

07/31/1987

City

PONTIAC

State

Zip

48055

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006