LISA D GIFFORD - Dentist License in Illinois | # 019024963

LISA D GIFFORD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024963

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

D

Last Name

GIFFORD

Business Name

LISA D GIFFORD

Original Issue Date

03/17/1999

Effective Date

06/30/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012