LISA ECKENSTEIN DDS - Dentist License in Illinois | # 018000471

LISA ECKENSTEIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000471

License Status

NOT RENEWED

Business

N

First Name

LISA

Last Name

ECKENSTEIN

Suffix

DDS

Business Name

LISA ECKENSTEIN DDS

Original Issue Date

07/03/1990

Effective Date

07/03/1990

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005