ANDREA JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016997

License Status

ACTIVE

Business

First Name

ANDREA

Last Name

JOHNSON

Business Name

ANDREA JOHNSON

Original Issue Date

09/21/2020

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/28/2024