MICHAEL KEEVAN JOHNSON Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000942

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

KEEVAN

Last Name

JOHNSON

Business Name

MICHAEL KEEVAN JOHNSON

Original Issue Date

12/21/2016

Effective Date

01/01/2017

Expiration Date

01/01/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2020