KENNETH R JOHNSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021849

License Status

INACTIVE

Business

First Name

KENNETH R

Last Name

JOHNSON

Suffix

DDS

Business Name

KENNETH R JOHNSON DDS

Original Issue Date

11/08/1989

Effective Date

11/08/1989

Expiration Date

09/30/1992

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005