BRIAN M JOHNSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028924

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

JOHNSON

Suffix

DDS

Business Name

BRIAN M JOHNSON DDS

Original Issue Date

02/08/2012

Effective Date

09/06/2012

Expiration Date

09/30/2015

City

DELAFIELD

State

Zip

53018

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016