WILLIAM C JOHNSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

INACTIVE

Business

First Name

WILLIAM C

Last Name

JOHNSON

Business Name

WILLIAM C JOHNSON

Original Issue Date

08/16/1983

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024