BRADFORD RAY JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

BRADFORD RAY

Last Name

JOHNSON

Business Name

BRADFORD RAY JOHNSON

Original Issue Date

01/26/1983

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2024