TYRAN E JOHNSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

Title

DDS

First Name

TYRAN

Middle

Last Name

JOHNSON

Business Name

TYRAN E JOHNSON DDS

Original Issue Date

06/14/2007

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

BROOKFIELD

State

Zip

60513

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024