RANDY G JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061540

License Status

NOT RENEWED

Business

First Name

RANDY G

Last Name

JOHNSON

Suffix

Business Name

RANDY G JOHNSON MD

Original Issue Date

02/03/1981

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63102

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021