GLENDA R JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011823

License Status

NOT RENEWED

Business

First Name

GLENDA

Middle

Last Name

JOHNSON

Business Name

GLENDA R JOHNSON

Original Issue Date

07/20/2006

Effective Date

10/07/2021

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/04/2025