THOMAS MERLE JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000204

License Status

NOT RENEWED

Business

First Name

THOMAS MERLE

Last Name

JOHNSON

Suffix

DDS

Business Name

THOMAS MERLE JOHNSON DDS

Original Issue Date

02/15/1990

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

02/08/2016