LISA MATSUMOTO - Dentist License in Illinois | # 020005919

LISA MATSUMOTO

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005919

License Status

NOT RENEWED

Business

N

First Name

LISA

Last Name

MATSUMOTO

Business Name

LISA MATSUMOTO

Original Issue Date

07/29/1985

Effective Date

06/04/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012