LARRY JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

LARRY

Last Name

JOHNSON

Business Name

LARRY JOHNSON

Original Issue Date

09/05/1984

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61826

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024