ANDREW JOHNSON DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110408

License Status

INACTIVE

Business

First Name

ANDREW

Last Name

JOHNSON

Suffix

Business Name

ANDREW JOHNSON DO

Original Issue Date

11/05/2003

Effective Date

11/05/2003

Expiration Date

07/31/2005

City

PISCATAWAY

State

Zip

08854

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/09/2006