BRUCE ROY JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

BRUCE ROY

Last Name

JOHNSON

Suffix

DDS

Business Name

BRUCE ROY JOHNSON DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005