CLARK PETER JOHNSON Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003091

License Status

INACTIVE

Business

First Name

CLARK PETER

Last Name

JOHNSON

Business Name

CLARK PETER JOHNSON

Original Issue Date

06/27/1979

Effective Date

06/27/1979

Expiration Date

01/31/1989

City

BATTLE CREEK

State

Zip

49017

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/25/2006