KENNETH E JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076285

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

JOHNSON

Suffix

Business Name

KENNETH E JOHNSON MD

Original Issue Date

11/04/1987

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

WEST ALLIS

State

Zip

53214

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021