LISA MARIE DVORAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004356

License Status

NOT RENEWED

Business

First Name

LISA MARIE

Last Name

DVORAK

Business Name

LISA MARIE DVORAK

Original Issue Date

09/09/1980

Effective Date

09/09/1980

Expiration Date

09/30/1984

City

PLACENTIA

State

Zip

92670

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005