KENNETH OSCAR JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036501

License Status

INACTIVE

Business

First Name

KENNETH OSCAR

Last Name

JOHNSON

Suffix

Business Name

KENNETH OSCAR JOHNSON MD

Original Issue Date

05/06/1960

Effective Date

05/06/1960

Expiration Date

07/31/1987

City

MILWAUKEE

State

Zip

53209

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006