LISA MARY CONNELLY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003337

License Status

INACTIVE

Business

First Name

LISA MARY

Last Name

CONNELLY

Business Name

LISA MARY CONNELLY

Original Issue Date

08/24/1977

Effective Date

08/24/1977

Expiration Date

09/30/1994

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005