DESTINY MARIAH JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017771

License Status

ACTIVE

Business

First Name

DESTINY

Middle

MARIAH

Last Name

JOHNSON

Business Name

DESTINY MARIAH JOHNSON

Original Issue Date

12/29/2022

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60628

Ever Disciplined

LastModifiedDate

10/02/2024