PATRICE MARIE JOHNSON - Dentist License in Illinois | # 020003976

PATRICE MARIE JOHNSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003976

License Status

NOT RENEWED

Business

N

First Name

PATRICE MARIE

Last Name

JOHNSON

Business Name

PATRICE MARIE JOHNSON

Original Issue Date

08/17/1979

Effective Date

08/17/1979

Expiration Date

04/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005