KENNETH M JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078597

License Status

NOT RENEWED

Business

First Name

KENNETH M

Last Name

JOHNSON

Suffix

Business Name

KENNETH M JOHNSON MD

Original Issue Date

03/21/1989

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

EAU CLAIRE

State

Zip

62704

Ever Disciplined

LastModifiedDate

11/30/2023