DOMINIQUE AA-ISHA JOHNSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035033

License Status

ACTIVE

Business

Title

DMD

First Name

DOMINIQUE

Middle

AA-ISHA

Last Name

JOHNSON

Business Name

DOMINIQUE AA-ISHA JOHNSON DMD

Original Issue Date

05/09/2024

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2024