MARVIN C JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011669

License Status

NOT RENEWED

Business

First Name

MARVIN C

Last Name

JOHNSON

Suffix

DDS

Business Name

MARVIN C JOHNSON DDS

Original Issue Date

07/27/1960

Effective Date

07/27/1960

Expiration Date

09/30/2004

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005