LISA PORAPAIBOON HANSON DDS - Dentist License in Illinois | # 021002400

LISA PORAPAIBOON HANSON DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002400

License Status

ACTIVE

Business

N

Title

DDS

First Name

LISA

Middle

PORAPAIBOON

Last Name

HANSON

Business Name

LISA PORAPAIBOON HANSON DDS

Original Issue Date

03/10/2011

Effective Date

05/06/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

N

LastModifiedDate

05/06/2024