LISBETH WYLIE POAG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000979

License Status

NOT RENEWED

Business

First Name

LISBETH WYLIE

Last Name

POAG

Business Name

LISBETH WYLIE POAG

Original Issue Date

09/06/1996

Effective Date

09/06/1996

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018