STEPHANIE PINSKY LISS DDS - Dentist License in Illinois | # 018001227

STEPHANIE PINSKY LISS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001227

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

PINSKY

Last Name

LISS

Suffix

DDS

Business Name

STEPHANIE PINSKY LISS DDS

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

06/30/2001

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005