BRUCE ROY JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016273

License Status

NOT RENEWED

Business

First Name

BRUCE ROY

Last Name

JOHNSON

Suffix

DDS

Business Name

BRUCE ROY JOHNSON DDS

Original Issue Date

06/08/1978

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

PUYALLUP

State

Zip

98375

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

01/08/2010