DAVID ROBERT JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

DAVID ROBERT

Last Name

JOHNSON

Business Name

DAVID ROBERT JOHNSON

Original Issue Date

08/05/1985

Effective Date

08/05/1985

Expiration Date

09/30/1988

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005