ALISA ANN REGENOLD - Dentist License in Illinois | # 020004974

ALISA ANN REGENOLD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004974

License Status

NOT RENEWED

Business

N

First Name

ALISA ANN

Last Name

REGENOLD

Business Name

ALISA ANN REGENOLD

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

08/03/2018