LAUREN NICOLE JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028126

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

NICOLE

Last Name

JOHNSON

Business Name

LAUREN NICOLE JOHNSON

Original Issue Date

08/24/2009

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

GRAND HAVEN

State

Zip

49417

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2013