JODI B JOHNSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

JODI

Middle

Last Name

JOHNSON

Suffix

DMD

Business Name

JODI B JOHNSON DMD

Original Issue Date

12/13/2005

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

ST LOUIS

State

Zip

63114

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016