License holder summary

Johnson, Russell Miller is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 11/19/2004 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Johnson, Russell Miller
Medical Physician & Surgeon
License number
2004033197  
Date granted
11/19/2004
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2133064
LAST UPDATED 2024-02-06 17:59:18 UTC

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