ANDREA SHIRELLE JOHNSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013436

License Status

INACTIVE

Business

First Name

ANDREA

Middle

SHIRELLE

Last Name

JOHNSON

Business Name

ANDREA SHIRELLE JOHNSON

Original Issue Date

10/27/2010

Effective Date

10/27/2010

Expiration Date

09/30/2012

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2012