PAUL ANDREW JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018799

License Status

NOT RENEWED

Business

First Name

PAUL ANDREW

Last Name

JOHNSON

Business Name

PAUL ANDREW JOHNSON

Original Issue Date

09/02/1983

Effective Date

09/02/1983

Expiration Date

09/30/1984

City

RICE LAKE

State

Zip

54868

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005