BRADFORD RAY JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001546

License Status

ACTIVE

Business

First Name

BRADFORD RAY

Last Name

JOHNSON

Business Name

BRADFORD RAY JOHNSON

Original Issue Date

09/27/1991

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

08/06/2024