STEPHANEE M JOHNSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011010

License Status

INACTIVE

Business

First Name

STEPHANEE

Middle

Last Name

JOHNSON

Business Name

STEPHANEE M JOHNSON

Original Issue Date

06/24/2004

Effective Date

06/17/2009

Expiration Date

09/30/2012

City

ASBURY

State

Zip

52002

Ever Disciplined

LastModifiedDate

06/06/2012