JEFFREY C JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000108

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

JOHNSON

Business Name

JEFFREY C JOHNSON

Original Issue Date

06/28/1984

Effective Date

06/28/1984

Expiration Date

01/01/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005