LISA ANNE SAMBROOKS - Dentist License in Indiana | # 020014984

LISA ANNE SAMBROOKS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014984

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

ANNE

Last Name

SAMBROOKS

Business Name

LISA ANNE SAMBROOKS

Original Issue Date

11/24/2014

Effective Date

09/28/2015

Expiration Date

09/30/2018

State

IN

Ever Disciplined

N

LastModifiedDate

10/31/2018