ANN MARIE LISNICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000779

License Status

NOT RENEWED

Business

First Name

ANN MARIE

Last Name

LISNICH

Business Name

ANN MARIE LISNICH

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

06/30/1996

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005