WILLIS BRADLEY JOHNSTON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002829

License Status

NOT RENEWED

Business

First Name

WILLIS BRADLEY

Last Name

JOHNSTON

Business Name

WILLIS BRADLEY JOHNSTON

Original Issue Date

07/11/1975

Effective Date

07/11/1975

City

OKLAHOMA CITY

State

Zip

73120

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/25/2006