MARK E JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034548

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

JOHNSON

Suffix

Business Name

MARK E JOHNSON MD

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/30/1999

City

WEST CHESTER

State

Zip

45069

Ever Disciplined

LastModifiedDate

10/10/2024