DELORES L JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109463

License Status

NOT RENEWED

Business

First Name

DELORES

Middle

Last Name

JOHNSON

Business Name

DELORES L JOHNSON

Original Issue Date

06/18/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FAYETTEVILLE

State

Zip

28304

Ever Disciplined

LastModifiedDate

11/06/2008