NICHOLAS CRAIG JOHNSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

INACTIVE

Business

First Name

NICHOLAS

Middle

CRAIG

Last Name

JOHNSON

Suffix

DDS

Business Name

NICHOLAS CRAIG JOHNSON DDS

Original Issue Date

01/01/1998

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2018