ADRIAN KEITH JOHNSON - Dentist License in Illinois | # 019011752

ADRIAN KEITH JOHNSON

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011752

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005