LISA H GRANT DDS - Dentist License in Illinois | # 018000561

LISA H GRANT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000561

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

H

Last Name

GRANT

Suffix

DDS

Business Name

LISA H GRANT DDS

Original Issue Date

07/02/1991

Effective Date

07/02/1991

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005