RYAN DANIEL JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028015

License Status

ACTIVE

Business

First Name

RYAN

Middle

DANIEL

Last Name

JOHNSON

Business Name

RYAN DANIEL JOHNSON

Original Issue Date

06/16/2009

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/18/2024