MARY ELIZABETH DI LISIO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032708

License Status

NOT RENEWED

Business

Title

DMD

First Name

MARY

Middle

ELIZABETH

Last Name

DI LISIO

Business Name

MARY ELIZABETH DI LISIO DMD

Original Issue Date

06/15/2020

Effective Date

10/01/2021

Expiration Date

09/30/2024

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

02/04/2025