ALISA BASARA PHOENIX Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006027

License Status

INACTIVE

Business

First Name

ALISA BASARA

Last Name

PHOENIX

Business Name

ALISA BASARA PHOENIX

Original Issue Date

01/15/1986

Effective Date

01/15/1986

Expiration Date

09/30/1990

City

GAINESVILLE

State

Zip

32606

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005