BENJAMIN REED JOHNSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

REED

Last Name

JOHNSON

Suffix

DMD

Business Name

BENJAMIN REED JOHNSON DMD

Original Issue Date

07/08/2010

Effective Date

09/05/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016