DENNIS LEE JOHNSON DDS - Dentist License in Illinois | # 137000011

DENNIS LEE JOHNSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000011

License Status

INACTIVE

Business

N

First Name

DENNIS

Middle

LEE

Last Name

JOHNSON

Suffix

DDS

Business Name

DENNIS LEE JOHNSON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/17/2005