DAVID WARREN JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018647

License Status

ACTIVE

Business

First Name

DAVID WARREN

Last Name

JOHNSON

Business Name

DAVID WARREN JOHNSON

Original Issue Date

07/25/1983

Effective Date

07/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/01/2024