DENNIS LEE JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

LEE

Last Name

JOHNSON

Suffix

DDS

Business Name

DENNIS LEE JOHNSON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005