LISA ECKENSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000471

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005