VERONIKA LISULOW DDS - Dentist License in Illinois | # 019013637

VERONIKA LISULOW DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013637

License Status

INACTIVE

Business

N

First Name

VERONIKA

Last Name

LISULOW

Suffix

DDS

Business Name

VERONIKA LISULOW DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005