EDWIN LEE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057026

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

LEE

Last Name

JOHNSON

Suffix

Business Name

EDWIN LEE JOHNSON MD

Original Issue Date

07/13/1978

Effective Date

07/13/1978

Expiration Date

07/31/2008

City

PELICAN RAPIDS

State

Zip

56572

Ever Disciplined

LastModifiedDate

12/15/2006

Case Number

2006000667

Action

Suspension

Discipline Start Date

12/15/2006

Discipline Reason

Disciplined in the state of North Dakota.