LARRY JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019226

License Status

ACTIVE

Business

First Name

LARRY

Last Name

JOHNSON

Business Name

LARRY JOHNSON

Original Issue Date

08/20/1984

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61826

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2024