ERIK HARRIS JOHNSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028025

License Status

NOT RENEWED

Business

Title

DMD

First Name

ERIK

Middle

HARRIS

Last Name

JOHNSON

Business Name

ERIK HARRIS JOHNSON DMD

Original Issue Date

06/19/2009

Effective Date

06/19/2009

Expiration Date

09/30/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2012