LISA D GIFFORD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024963

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

GIFFORD

Business Name

LISA D GIFFORD

Original Issue Date

03/17/1999

Effective Date

06/30/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012