DANE JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150257

License Status

ACTIVE

Business

Title

First Name

DANE

Last Name

JOHNSON

Business Name

DANE JOHNSON MD

Original Issue Date

07/18/2019

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

06/16/2023