DALE ALAN JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

DALE ALAN

Last Name

JOHNSON

Suffix

DDS

Business Name

DALE ALAN JOHNSON DDS

Original Issue Date

01/01/1998

Effective Date

09/26/2018

Expiration Date

01/31/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022