THOMAS ALLEN JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ALLEN

Last Name

JOHNSON

Business Name

THOMAS ALLEN JOHNSON

Original Issue Date

10/31/1984

Effective Date

06/22/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016