JENNIFER DAWN JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012597

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

DAWN

Last Name

JOHNSON

Business Name

JENNIFER DAWN JOHNSON

Original Issue Date

07/09/2008

Effective Date

09/12/2021

Expiration Date

09/30/2024

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

2019012435

Action

Suspension

Discipline Start Date

03/09/2020

Discipline End Date

03/19/2020

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/20/2020.