Derick Michael Johnson

Medical Board - 58.Do Training Certificate

Ohio  58.001489   Inactive

This Ohio license was held by Derick Michael Johnson. The license is no longer active. It was granted on 09/14/2004 and expired on 06/23/2009

LICENSE DETAILS

  • License Number: 58.001489
  • Category: 58.DO Training Certificate
  • Status: Inactive
  • Date Granted: 09/14/2004 (over 20 years ago)
  • Expiry Date: 06/23/2009 (almost 16 years ago)

LOCATIONS

A Practice Address

St Vincent Mercy Medical Center, C/O Medical Education Dept, 2213 Cherry Street, Toledo, OH 43608