NICOLE SOPHIE JOHNSON DDS - Dentist License in Illinois | # 019031392

NICOLE SOPHIE JOHNSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031392

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

NICOLE

Middle

SOPHIE

Last Name

JOHNSON

Business Name

NICOLE SOPHIE JOHNSON DDS

Original Issue Date

09/05/2017

Effective Date

08/16/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022