Dental Board of California
Licensing details for: 63515
Name: JOHNSON, REUBEN LEE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Secondary Status: Licensure by Residency
Previous Names: JOHNSON, REUREN LEE
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: JOHNSON, REUBEN LEE
License/Registration Type: Conscious Sedation Permit
License Number: 909 Primary Status: Cancelled
Address :
5127 PARKGLEN AVE
LOS ANGELES CA 90043
LOS ANGELES COUNTY



