LISA ANN FORTUNATO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028199

License Status

ACTIVE

Business

Title

DDS

First Name

LISA

Middle

ANN

Last Name

FORTUNATO

Business Name

LISA ANN FORTUNATO DDS

Original Issue Date

02/02/2010

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

VERO BEACH

State

Zip

32960

Ever Disciplined

LastModifiedDate

09/03/2024