THOMAS MERLE 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

THOMAS MERLE

Last Name

JOHNSON

Suffix

DDS

Business Name

THOMAS MERLE JOHNSON DDS

Original Issue Date

01/01/1998

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016