ERIC R JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

ERIC R

Last Name

JOHNSON

Business Name

ERIC R JOHNSON

Original Issue Date

09/30/1983

Effective Date

06/20/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60652

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2024