ANDREA SHIRELLE JOHNSON - Dentist License in Illinois | # 020013436

ANDREA SHIRELLE JOHNSON

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013436

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012