License holder summary

David Wallace Johnson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for David Wallace Johnson is 2125 Lake Augusta Drive, Mendota Heights, MN 55120. This doctor license is current. The license was granted 02/20/1970 and expired on 04/30/2015.

Department of Safety and Professional Services

Board of Medical Practice

David Wallace Johnson
Medical - Physician And Surgeon
License number
19051
Date granted
02/20/1970
Date expires
04/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
2125 Lake Augusta Drive, Mendota Heights, MN 55120
doctorsminnesota.org
ID 22230540
LAST UPDATED 2026-08-10 16:55:25 UTC

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