ADRIAN KEITH JOHNSON Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

INOPERATIVE

Business

First Name

ADRIAN KEITH

Last Name

JOHNSON

Business Name

ADRIAN KEITH JOHNSON

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

HOT SPRINGS VILLAGE

State

Zip

71909

County

ARKANSAS

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005