SARAH DANIELLE JOHNSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011416

License Status

INACTIVE

Business

First Name

SARAH

Middle

DANIELLE

Last Name

JOHNSON

Business Name

SARAH DANIELLE JOHNSON

Original Issue Date

07/20/2005

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

06/06/2012