BRIAN M JOHNSON DDS - Dentist License in Wisconsin | # 019028924

BRIAN M JOHNSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028924

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

M

Last Name

JOHNSON

Suffix

DDS

Business Name

BRIAN M JOHNSON DDS

Original Issue Date

02/08/2012

Effective Date

09/06/2012

Expiration Date

09/30/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016