DENNIS LEE JOHNSON DDS - Dentist License in Illinois | # 021000690

DENNIS LEE JOHNSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000690

License Status

INACTIVE

Business

N

First Name

DENNIS

Middle

LEE

Last Name

JOHNSON

Suffix

DDS

Business Name

DENNIS LEE JOHNSON DDS

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/17/2005