THERESA M JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008474

License Status

ACTIVE

Business

First Name

THERESA M

Last Name

JOHNSON

Business Name

THERESA M JOHNSON

Original Issue Date

07/01/1995

Effective Date

09/08/2024

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

09/08/2024