GARY ROBERT JOHNSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DDS

First Name

GARY

Middle

ROBERT

Last Name

JOHNSON

Business Name

GARY ROBERT JOHNSON DDS

Original Issue Date

05/14/1992

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

BERKELEY

State

Zip

60163

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024