JOHNATHON ALLEN BERRY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163599

License Status

ACTIVE

Business

Title

First Name

JOHNATHON

Middle

ALLEN

Last Name

BERRY

Business Name

JOHNATHON ALLEN BERRY DO

Original Issue Date

02/07/2023

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

RAPID CITY

State

Zip

57702

Ever Disciplined

LastModifiedDate

06/20/2023