GLEN C JOHNSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075623

License Status

INACTIVE

Business

First Name

GLEN C

Last Name

JOHNSON

Business Name

GLEN C JOHNSON

Original Issue Date

08/25/1987

Effective Date

08/25/1987

Expiration Date

07/31/1990

City

ATHENS

State

Zip

18810

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006