LISA ANN VAN DE RIET - Dentist License in Missouri | # 020009419

LISA ANN VAN DE RIET

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009419

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

ANN

Last Name

VAN DE RIET

Business Name

LISA ANN VAN DE RIET

Original Issue Date

03/04/1999

Effective Date

03/04/1999

Expiration Date

09/30/2000

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005