JOHN T LISAC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000460

License Status

NOT RENEWED

Business

First Name

JOHN T

Last Name

LISAC

Suffix

DDS

Business Name

JOHN T LISAC DDS

Original Issue Date

06/29/1990

Effective Date

06/29/1990

Expiration Date

06/10/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005