LISA J IPPOLITO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003263

License Status

NOT RENEWED

Business

First Name

LISA J

Last Name

IPPOLITO

Business Name

LISA J IPPOLITO

Original Issue Date

07/20/1977

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2016