DIANE HELEN MARI JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019385

License Status

NOT RENEWED

Business

First Name

DIANE HELEN MARI

Last Name

JOHNSON

Business Name

DIANE HELEN MARI JOHNSON

Original Issue Date

10/24/1984

Effective Date

10/24/1984

Expiration Date

09/30/2002

City

MOORESVILLE

State

Zip

46158

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005