JODY PATRICK JOHNSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110230

License Status

NOT RENEWED

Business

First Name

JODY

Middle

PATRICK

Last Name

JOHNSEN

Suffix

Business Name

JODY PATRICK JOHNSEN DO

Original Issue Date

10/06/2003

Effective Date

07/25/2008

Expiration Date

07/31/2011

City

GOODRICH

State

Zip

48438

County

MICHIGAN

Ever Disciplined

LastModifiedDate

02/02/2026