License holder summary

STACEY L JOHNSON is a Medical Doctor (Md) - Medical Doctor Educational Limited licensed to practice in Michigan. The address on file for STACEY L JOHNSON is Columbus, GA 31907. This licensed professional license is not current. The license was granted 07/01/1996 and expired on 06/30/1998.

Michigan

Department of Licensing and Regulation

STACEY L JOHNSON
Medical Doctor (Md) - Medical Doctor Educational Limited
License number
4301068034
Date granted
07/01/1996
Date expires
06/30/1998
Class
Medical Doctor (Md) - Medical Doctor Educational Limited
Status
Lapsed
Address
Columbus, GA 31907
michiganlicensing.org
ID 25791182
LAST UPDATED 2024-02-20 18:17:59 UTC

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