FORREST WAYNE JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008239

License Status

NOT RENEWED

Business

First Name

FORREST WAYNE

Last Name

JOHNSON

Business Name

FORREST WAYNE JOHNSON

Original Issue Date

11/18/1941

Effective Date

11/18/1941

Expiration Date

09/30/1984

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005