STEVEN CARL JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

STEVEN CARL

Last Name

JOHNSON

Suffix

DDS

Business Name

STEVEN CARL JOHNSON DDS

Original Issue Date

02/26/1992

Effective Date

02/26/1992

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005