JACQUELYN LYNN JOHNSON IDPR Registered License verification

Business Entity

INACTIVE

License Type

IDPR Registered

Description

TEMPORARY GENETIC COUNSELOR

License Number

247000066

License Status

INACTIVE

Business

First Name

JACQUELYN

Middle

LYNN

Last Name

JOHNSON

Business Name

JACQUELYN LYNN JOHNSON

Original Issue Date

04/16/2015

Effective Date

04/16/2015

Expiration Date

04/16/2017

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/16/2015