TESSA JEAN JOHNSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

TESSA

Middle

JEAN

Last Name

JOHNSON

Business Name

TESSA JEAN JOHNSON

Original Issue Date

08/24/2004

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

NAUVOO

State

Zip

62354

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/28/2024