DENNIS LEE JOHNSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000690

License Status

INACTIVE

Business

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

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/17/2005