GARY ALAN JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120858

License Status

INACTIVE

Business

Title

First Name

GARY

Middle

ALAN

Last Name

JOHNSON

Business Name

GARY ALAN JOHNSON MD

Original Issue Date

05/13/2008

Effective Date

06/15/2020

Expiration Date

07/31/2023

City

OKLAHOMA CITY

State

Zip

73131

County

PEORIA

Ever Disciplined

LastModifiedDate

04/08/2023