JEFFREY C JOHNSON - Dentist License in Illinois | # 018000108

JEFFREY C JOHNSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000108

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

C

Last Name

JOHNSON

Business Name

JEFFREY C JOHNSON

Original Issue Date

06/28/1984

Effective Date

06/28/1984

Expiration Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005