SUSAN H JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078558

License Status

INACTIVE

Business

First Name

SUSAN H

Last Name

JOHNSON

Suffix

Business Name

SUSAN H JOHNSON MD

Original Issue Date

03/14/1989

Effective Date

03/14/1989

Expiration Date

07/31/1993

City

PORTLAND

State

Zip

97227

County

OREGON

Ever Disciplined

LastModifiedDate

05/23/2012