LISA ANN ENSTROM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003233

License Status

INACTIVE

Business

First Name

LISA ANN

Last Name

ENSTROM

Business Name

LISA ANN ENSTROM

Original Issue Date

07/15/1977

Effective Date

07/15/1977

Expiration Date

09/30/1992

City

ATLANTA

State

Zip

30306

County

FULTON

Ever Disciplined

LastModifiedDate

10/12/2005