CLARKE LESLIE JOHNSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000573

License Status

INACTIVE

Business

First Name

CLARKE LESLIE

Last Name

JOHNSON

Suffix

DDS

Business Name

CLARKE LESLIE JOHNSON DDS

Original Issue Date

12/19/1968

Effective Date

12/19/1968

Expiration Date

09/30/1996

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005