LISA ANN ENSTROM - Dentist License in Georgia | # 020003233

LISA ANN ENSTROM

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003233

License Status

INACTIVE

Business

N

First Name

LISA ANN

Last Name

ENSTROM

Business Name

LISA ANN ENSTROM

Original Issue Date

07/15/1977

Effective Date

07/15/1977

Expiration Date

09/30/1992

State

GA

Ever Disciplined

N

LastModifiedDate

10/12/2005