KELLY ANN MCGOWAN JOHNSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030626

License Status

ACTIVE

Business

Title

DMD

First Name

KELLY

Middle

ANN

Last Name

MCGOWAN JOHNSON

Business Name

KELLY ANN MCGOWAN JOHNSON DMD

Original Issue Date

05/24/2016

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

08/27/2024