TYRAN E JOHNSON DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001424

License Status

EXPIRED

Business

Title

DDS

First Name

TYRAN

Middle

Last Name

JOHNSON

Business Name

TYRAN E JOHNSON DDS

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/03/2007