THOMAS ALLEN JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001303

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ALLEN

Last Name

JOHNSON

Business Name

THOMAS ALLEN JOHNSON

Original Issue Date

09/09/1986

Effective Date

06/22/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

02/08/2016