WILLIE EARL JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014589

License Status

NOT RENEWED

Business

First Name

WILLIE EARL

Last Name

JOHNSON

Suffix

DDS

Business Name

WILLIE EARL JOHNSON DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005