JEFFREY J JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001601

License Status

NOT RENEWED

Business

First Name

JEFFREY J

Last Name

JOHNSON

Suffix

DDS

Business Name

JEFFREY J JOHNSON DDS

Original Issue Date

08/31/1992

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

02/04/2025