Johan the
ExpiredIllinois license 019022379
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019022379
- Status
- Expired (Not Renewed)
- First issued
- February 8, 1991
- Expired
- September 30, 1994
- License holder
- Johan the
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 02/08/1991
Contact
Fort Lee, NJ 07024
New Jersey County