J BARRY JOHNSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002576

License Status

NOT RENEWED

Business

First Name

J BARRY

Last Name

JOHNSON

Business Name

J BARRY JOHNSON

Original Issue Date

08/04/1969

Effective Date

08/04/1969

Expiration Date

01/31/1985

City

WINSTON-SALEM

State

Zip

27103

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/25/2006