VICKI HELEN JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

VICKI HELEN

Last Name

JOHNSON

Suffix

DDS

Business Name

VICKI HELEN JOHNSON DDS

Original Issue Date

09/05/2006

Effective Date

01/15/2019

Expiration Date

01/31/2022

City

LA GRAGNE PARK

State

Zip

60526

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

05/09/2022