JACQUELINE ROSE JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016530

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

ROSE

Last Name

JOHNSON

Business Name

JACQUELINE ROSE JOHNSON

Original Issue Date

07/12/2019

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

09/09/2024