LISA J WAYMACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004390

License Status

NOT RENEWED

Business

First Name

LISA J

Last Name

WAYMACK

Business Name

LISA J WAYMACK

Original Issue Date

10/08/1980

Effective Date

10/08/1980

Expiration Date

09/30/1990

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/12/2005