LISA LOUISE BLACKLEDGE - Dentist License in Illinois | # 020009481

LISA LOUISE BLACKLEDGE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009481

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

LOUISE

Last Name

BLACKLEDGE

Business Name

LISA LOUISE BLACKLEDGE

Original Issue Date

06/15/1999

Effective Date

10/01/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022