EARL WAYNE JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039617

License Status

INACTIVE

Business

First Name

EARL WAYNE

Last Name

JOHNSON

Suffix

Business Name

EARL WAYNE JOHNSON MD

Original Issue Date

05/25/1965

Effective Date

05/25/1965

Expiration Date

07/31/1987

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006