ANDREW M JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000498

License Status

NOT RENEWED

Business

First Name

ANDREW M

Last Name

JOHNSON

Suffix

DDS

Business Name

ANDREW M JOHNSON DDS

Original Issue Date

08/07/1990

Effective Date

08/07/1990

Expiration Date

05/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005