LISA MARIA BLEVINS - Dentist License in Illinois | # 020008970

LISA MARIA BLEVINS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008970

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MARIA

Last Name

BLEVINS

Business Name

LISA MARIA BLEVINS

Original Issue Date

07/04/1997

Effective Date

09/23/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012