LAURA B JOHNSON-SHALLENBERGER - Dentist License in Illinois | # 020011014

LAURA B JOHNSON-SHALLENBERGER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011014

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

B

Last Name

JOHNSON-SHALLENBERGER

Business Name

LAURA B JOHNSON-SHALLENBERGER

Original Issue Date

06/24/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009