BRUCE CARL JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059131

License Status

NOT RENEWED

Business

First Name

BRUCE CARL

Last Name

JOHNSON

Suffix

Business Name

BRUCE CARL JOHNSON MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

Expiration Date

07/31/2005

City

LONGVIEW

State

Zip

98632

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006