ASHLEY RAE JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015319

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

RAE

Last Name

JOHNSON

Business Name

ASHLEY RAE JOHNSON

Original Issue Date

10/01/2015

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/31/2018