LISA ELIZABETH BLACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031513

License Status

ACTIVE

Business

First Name

LISA

Middle

ELIZABETH

Last Name

BLACK

Business Name

LISA ELIZABETH BLACK

Original Issue Date

02/16/2018

Effective Date

09/07/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2024