ADRIAN KEITH JOHNSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011752

License Status

INACTIVE

Business

First Name

ADRIAN KEITH

Last Name

JOHNSON

Business Name

ADRIAN KEITH JOHNSON

Original Issue Date

08/03/1960

Effective Date

08/03/1960

Expiration Date

09/30/2000

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005