CHARLES ERIC JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

CHARLES ERIC

Last Name

JOHNSON

Suffix

DDS

Business Name

CHARLES ERIC JOHNSON DDS

Original Issue Date

01/01/1998

Effective Date

12/26/2021

Expiration Date

09/30/2024

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

02/04/2025