RONALD ROY JOHNSON DDS 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

RONALD ROY

Last Name

JOHNSON

Suffix

DDS

Business Name

RONALD ROY JOHNSON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005