JILL I JOHNSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003540

License Status

NOT RENEWED

Business

First Name

JILL I

Last Name

JOHNSEN

Business Name

JILL I JOHNSEN

Original Issue Date

06/23/1978

Effective Date

06/23/1978

Expiration Date

09/30/1998

City

WEST BLOOMFIELD

State

Zip

48322

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005