ALLAN DAVID JOHNSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013142

License Status

INACTIVE

Business

First Name

ALLAN DAVID

Last Name

JOHNSON

Suffix

DDS

Business Name

ALLAN DAVID JOHNSON DDS

Original Issue Date

06/09/1967

Effective Date

06/09/1967

Expiration Date

09/30/1990

City

PHOENIX

State

Zip

85032

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005