FORREST LEE JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011847

License Status

NOT RENEWED

Business

First Name

FORREST LEE

Last Name

JOHNSON

Suffix

DDS

Business Name

FORREST LEE JOHNSON DDS

Original Issue Date

01/09/1961

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

02/08/2016