RANDAL W JOHNSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023310

License Status

ACTIVE

Business

First Name

RANDAL W

Last Name

JOHNSON

Suffix

DMD

Business Name

RANDAL W JOHNSON DMD

Original Issue Date

08/10/1993

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/01/2024