LAURA B JOHNSON-SHALLENBERGER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011014

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

JOHNSON-SHALLENBERGER

Business Name

LAURA B JOHNSON-SHALLENBERGER

Original Issue Date

06/24/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/04/2009