SHANNON RAE JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013247

License Status

ACTIVE

Business

First Name

SHANNON

Middle

RAE

Last Name

JOHNSON

Business Name

SHANNON RAE JOHNSON

Original Issue Date

06/29/2010

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/14/2024