LISA MICHELLE BOSCH - Dentist License in Illinois | # 020012778

LISA MICHELLE BOSCH

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012778

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MICHELLE

Last Name

BOSCH

Business Name

LISA MICHELLE BOSCH

Original Issue Date

03/25/2009

Effective Date

09/30/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012