TODD MATTHEW JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121378

License Status

NOT RENEWED

Business

First Name

TODD

Middle

MATTHEW

Last Name

JOHNSON

Business Name

TODD MATTHEW JOHNSON

Original Issue Date

07/02/2008

Effective Date

07/02/2008

Expiration Date

07/31/2011

City

KALAMAZOO

State

Zip

49007

Ever Disciplined

LastModifiedDate

11/14/2011