LISA A TESTANERO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010527

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

TESTANERO

Business Name

LISA A TESTANERO

Original Issue Date

02/05/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CUMMING

State

Zip

30040

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/24/2006