MATTHEW THOMAS JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141328

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

JOHNSON

Business Name

MATTHEW THOMAS JOHNSON MD

Original Issue Date

07/26/2016

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63139

Ever Disciplined

LastModifiedDate

11/30/2023