Mark Herbert Johnson

Medical - Physician And Surgeon

Minnesota  19187   Inactive

This Minnesota license was held by Mark Herbert Johnson. The license is no longer active. It was granted on 07/02/1970 and expired on 12/31/2012

LICENSE DETAILS

  • License Number: 19187
  • Category: Physician and Surgeon
  • Status: Inactive
  • Date Granted: 07/02/1970 (almost 55 years ago)
  • Expiry Date: 12/31/2012 (over 12 years ago)

LOCATIONS

A Licensure Designated Address

2104 Oliver Ave S., Minneapolis, MN 55405