JODI B JOHNSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026845

License Status

NOT RENEWED

Business

First Name

JODI

Middle

Last Name

JOHNSON

Suffix

DMD

Business Name

JODI B JOHNSON DMD

Original Issue Date

07/28/2005

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

ST LOUIS

State

Zip

63114

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/08/2016