ANDREW M JOHNSON DDS - Dentist License in Illinois | # 018000498

ANDREW M JOHNSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000498

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005