License holder summary

MARK LEO JOHNSON is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MARK LEO JOHNSON is *NO CITY PA 99999. This medical practitioner license is not current. The license was granted 02/11/1993 and expired on 06/30/1999.

Department of State

Board of Medicine

MARK LEO JOHNSON
Graduate Medical Trainee
License number
MT028918T
Date granted
02/11/1993
Date expires
06/30/1999
Class
Graduate Medical Trainee
Status
Inactive
Address
*NO CITY PA 99999
medicinepa.com
ID 37539788
LAST UPDATED 2024-04-07 19:37:36 UTC

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