HEIDI ANNE JOHNSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014581

License Status

INACTIVE

Business

First Name

HEIDI

Middle

ANNE

Last Name

JOHNSON

Business Name

HEIDI ANNE JOHNSON

Original Issue Date

12/27/2013

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

WAUKESHA

State

Zip

53188

Ever Disciplined

LastModifiedDate

05/01/2024