ALISA BASARA PHOENIX - Dentist License in Florida | # 020006027

ALISA BASARA PHOENIX

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006027

License Status

INACTIVE

Business

N

First Name

ALISA BASARA

Last Name

PHOENIX

Business Name

ALISA BASARA PHOENIX

Original Issue Date

01/15/1986

Effective Date

01/15/1986

Expiration Date

09/30/1990

State

FL

Ever Disciplined

N

LastModifiedDate

10/12/2005