DOUGLAS PHILIP JOHNSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

DOUGLAS PHILIP

Last Name

JOHNSON

Business Name

DOUGLAS PHILIP JOHNSON

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

LANSING

State

Zip

48906

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006