ROSS M JOHNSEN - Dentist License in Illinois | # 019020744

ROSS M JOHNSEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020744

License Status

NOT RENEWED

Business

N

First Name

ROSS M

Last Name

JOHNSEN

Business Name

ROSS M JOHNSEN

Original Issue Date

08/15/1987

Effective Date

09/04/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016