RALPH A JOHNNIE JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014219

License Status

NOT RENEWED

Business

Title

DDS

First Name

RALPH

Middle

Last Name

JOHNNIE

Suffix

Business Name

RALPH A JOHNNIE JR DDS

Original Issue Date

12/06/1971

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/09/2022