JOHNNY AMAZAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

Title

DDS

First Name

JOHNNY

Last Name

AMAZAN

Business Name

JOHNNY AMAZAN DDS

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

09/30/2027

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/24/2025