MARK CUNDIFF JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096981

License Status

INACTIVE

Business

First Name

MARK

Middle

CUNDIFF

Last Name

JOHNSON

Suffix

Business Name

MARK CUNDIFF JOHNSON MD

Original Issue Date

11/13/1997

Effective Date

11/13/1997

Expiration Date

07/31/1999

City

ST. LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/15/2010