DAVID M JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079722

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

JOHNSON

Suffix

Business Name

DAVID M JOHNSON MD

Original Issue Date

02/21/1990

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017