MICHAEL ALAN JOHNSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

MICHAEL ALAN

Last Name

JOHNSON

Suffix

DDS

Business Name

MICHAEL ALAN JOHNSON DDS

Original Issue Date

12/11/1995

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024