TYRAN E JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

Title

DDS

First Name

TYRAN

Middle

Last Name

JOHNSON

Business Name

TYRAN E JOHNSON DDS

Original Issue Date

06/14/2007

Effective Date

07/16/2018

Expiration Date

01/31/2022

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022