LISA M GANNON - Dentist License in Georgia | # 020006887

LISA M GANNON

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006887

License Status

INACTIVE

Business

N

First Name

LISA M

Last Name

GANNON

Business Name

LISA M GANNON

Original Issue Date

03/21/1989

Effective Date

03/21/1989

Expiration Date

09/30/2000

State

GA

Ever Disciplined

N

LastModifiedDate

10/17/2005