ADRIAN KEITH JOHNSON - Dentist License in Arkansas | # 31*****89

ADRIAN KEITH JOHNSON

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

INOPERATIVE

Business

N

First Name

ADRIAN KEITH

Last Name

JOHNSON

Business Name

ADRIAN KEITH JOHNSON

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

State

AR

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

10/17/2005