JAMES CLIFFORD JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

CLIFFORD

Last Name

JOHNSON

Business Name

JAMES CLIFFORD JOHNSON

Original Issue Date

07/09/2012

Effective Date

06/24/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018