DALE ALAN JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016998

License Status

NOT RENEWED

Business

First Name

DALE ALAN

Last Name

JOHNSON

Suffix

DDS

Business Name

DALE ALAN JOHNSON DDS

Original Issue Date

10/19/1979

Effective Date

09/26/2018

Expiration Date

01/31/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/09/2022