KELLY E JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082767

License Status

ACTIVE

Business

First Name

KELLY E

Last Name

JOHNSON

Suffix

Business Name

KELLY E JOHNSON MD

Original Issue Date

06/28/1991

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63105

Ever Disciplined

LastModifiedDate

07/23/2023