GORDON L JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055953

License Status

INACTIVE

Business

First Name

GORDON L

Last Name

JOHNSON

Suffix

Business Name

GORDON L JOHNSON MD

Original Issue Date

10/19/1977

Effective Date

10/19/1977

Expiration Date

07/31/2002

City

FESTUS

State

Zip

63028

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/26/2007