THOMAS MERLE JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014083

License Status

NOT RENEWED

Business

First Name

THOMAS MERLE

Last Name

JOHNSON

Suffix

DDS

Business Name

THOMAS MERLE JOHNSON DDS

Original Issue Date

07/08/1971

Effective Date

07/05/2012

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61702

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/08/2016