License holder summary

Mary Alice Johnson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mary Alice Johnson is 610 Capitol Blvd Apt 1, St. Paul, MN 55103. This doctor license is not current. The license was granted 11/08/2003 and expired on 09/30/2006.

Department of Safety and Professional Services

Board of Medical Practice

Mary Alice Johnson
Medical - Physician And Surgeon
License number
46215
Date granted
11/08/2003
Date expires
09/30/2006
Class
Medical - Physician And Surgeon
Status
Canceled
Address
610 Capitol Blvd Apt 1, St. Paul, MN 55103
doctorsminnesota.org
ID 22229791
LAST UPDATED 2024-04-14 18:34:12 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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