WANDA L JOHNSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016953

License Status

INACTIVE

Business

First Name

WANDA L

Last Name

JOHNSON

Suffix

DDS

Business Name

WANDA L JOHNSON DDS

Original Issue Date

09/17/1979

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006