License holder summary

JOHNSON KEITH EDWARD is a Dental License licensed to practice in California. The address on file for JOHNSON KEITH EDWARD is 13270 BIG BASIN HWY BOULDER CREEK CA 95006. This licensed professional license is current. The license was granted 08/01/1994 and expired on 11/30/2016.

California

Department of Consumer Affairs

JOHNSON KEITH EDWARD
Dental License
License number
42162
Date granted
08/01/1994
Date expires
11/30/2016
Class
Dental License
Status
Current
Address
13270 BIG BASIN HWY BOULDER CREEK CA 95006
californialicensing.org
ID 19768780
LAST UPDATED 2024-03-15 12:48:48 UTC

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