CLARKE LESLIE JOHNSON DDS - Dentist License in Illinois | # 019012498

CLARKE LESLIE JOHNSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012498

License Status

INACTIVE

Business

N

First Name

CLARKE LESLIE

Last Name

JOHNSON

Suffix

DDS

Business Name

CLARKE LESLIE JOHNSON DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005