SHALISE M HOLT DDS - Dentist License in Illinois | # 021002884

SHALISE M HOLT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002884

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

SHALISE

Middle

M

Last Name

HOLT

Business Name

SHALISE M HOLT DDS

Original Issue Date

08/13/2018

Effective Date

08/13/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

N

LastModifiedDate

05/09/2022