ROBERT LEE JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034729

License Status

INACTIVE

Business

First Name

ROBERT LEE

Last Name

JOHNSON

Suffix

Business Name

ROBERT LEE JOHNSON MD

Original Issue Date

08/14/1957

Effective Date

08/14/1957

Expiration Date

07/31/1990

City

PORT EDWARDS

State

Zip

54469

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006