LISA M ANDERSON - Dentist License in Indiana | # 020010193

LISA M ANDERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010193

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

M

Last Name

ANDERSON

Business Name

LISA M ANDERSON

Original Issue Date

10/15/2001

Effective Date

12/05/2021

Expiration Date

09/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/04/2025