KENNETH ARTHUR JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

KENNETH ARTHUR

Last Name

JOHNSON

Business Name

KENNETH ARTHUR JOHNSON

Original Issue Date

09/26/1988

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024