BETH A JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100914

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

JOHNSON

Business Name

BETH A JOHNSON

Original Issue Date

08/06/1999

Effective Date

08/06/1999

Expiration Date

07/31/2005

City

GREENFIELD

State

Zip

53228

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006