DEBRA KAY JOHNSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002309

License Status

INACTIVE

Business

First Name

DEBRA KAY

Last Name

JOHNSON

Business Name

DEBRA KAY JOHNSON

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/2004

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005