MARK C JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088976

License Status

ACTIVE

Business

First Name

MARK C

Last Name

JOHNSON

Suffix

Business Name

MARK C JOHNSON MD

Original Issue Date

07/13/1994

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/18/2023