LISA H GRANT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000561

License Status

NOT RENEWED

Business

First Name

LISA

Middle

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005