ALISA ANN REGENOLD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004974

License Status

NOT RENEWED

Business

First Name

ALISA ANN

Last Name

REGENOLD

Business Name

ALISA ANN REGENOLD

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

09/30/1996

City

LEROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/03/2018