TYRAN E JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000702

License Status

NOT RENEWED

Business

Title

DDS

First Name

TYRAN

Middle

Last Name

JOHNSON

Business Name

TYRAN E JOHNSON DDS

Original Issue Date

08/08/2007

Effective Date

08/08/2007

Expiration Date

09/30/2009

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/04/2009