MARVIN C JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

MARVIN C

Last Name

JOHNSON

Suffix

DDS

Business Name

MARVIN C JOHNSON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005