JEFFREY J JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

JEFFREY J

Last Name

JOHNSON

Suffix

DDS

Business Name

JEFFREY J JOHNSON DDS

Original Issue Date

05/06/1991

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025