LISA MATSUMOTO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005919

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

MATSUMOTO

Business Name

LISA MATSUMOTO

Original Issue Date

07/29/1985

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012