BARRY LAYLE JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

BARRY LAYLE

Last Name

JOHNSON

Suffix

DDS

Business Name

BARRY LAYLE JOHNSON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005