MICHAEL DAVID JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

MICHAEL DAVID

Last Name

JOHNSON

Business Name

MICHAEL DAVID JOHNSON

Original Issue Date

09/03/1986

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024