JESSICA N JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140326

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

Last Name

JOHNSON

Business Name

JESSICA N JOHNSON MD

Original Issue Date

04/12/2016

Effective Date

04/12/2016

Expiration Date

07/31/2017

City

CUMBERLAND

State

Zip

02864

Ever Disciplined

LastModifiedDate

11/01/2017