KRISTAN MARIE JOHNSON - Dentist License in Illinois | # 020013593

KRISTAN MARIE JOHNSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013593

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018