DANIEL WILLIAM JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019451

License Status

ACTIVE

Business

First Name

DANIEL WILLIAM

Last Name

JOHNSON

Business Name

DANIEL WILLIAM JOHNSON

Original Issue Date

01/28/1985

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2024