JEFFREY J JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000429

License Status

NOT RENEWED

Business

First Name

JEFFREY J

Last Name

JOHNSON

Suffix

DDS

Business Name

JEFFREY J JOHNSON DDS

Original Issue Date

05/31/1990

Effective Date

05/31/1990

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018