LISA J IPPOLITO - Dentist License in Illinois | # 020003263

LISA J IPPOLITO

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003263

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016