PAMELA J JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

Last Name

JOHNSON

Suffix

DDS

Business Name

PAMELA J JOHNSON DDS

Original Issue Date

09/17/1991

Effective Date

09/17/1991

Expiration Date

09/30/1992

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005