RALPH A JOHNNIE JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

Title

DDS

First Name

RALPH

Middle

Last Name

JOHNNIE

Suffix

Business Name

RALPH A JOHNNIE JR DDS

Original Issue Date

01/01/1998

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CENTRALIA

State

Zip

62801

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022