ROBERT JOEL JOHNSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

ROBERT JOEL

Last Name

JOHNSON

Suffix

DMD

Business Name

ROBERT JOEL JOHNSON DMD

Original Issue Date

08/27/1997

Effective Date

06/17/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

06/17/2024