MEGAN MANDIA JOHNSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015231

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MANDIA

Last Name

JOHNSON

Business Name

MEGAN MANDIA JOHNSON

Original Issue Date

08/04/2015

Effective Date

08/04/2015

Expiration Date

09/30/2018

City

ROYAL OAK

State

Zip

48073

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/31/2018