KRISTAN MARIE JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013593

License Status

NOT RENEWED

Business

First Name

KRISTAN

Middle

MARIE

Last Name

JOHNSON

Business Name

KRISTAN MARIE JOHNSON

Original Issue Date

07/05/2011

Effective Date

07/02/2015

Expiration Date

09/30/2018

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018