LISA M GANNON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006887

License Status

INACTIVE

Business

First Name

LISA M

Last Name

GANNON

Business Name

LISA M GANNON

Original Issue Date

03/21/1989

Effective Date

03/21/1989

Expiration Date

09/30/2000

City

WOODSTOCK

State

Zip

30189

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/17/2005