LISA ANN FUCCIOLO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005982

License Status

NOT RENEWED

Business

First Name

LISA ANN

Last Name

FUCCIOLO

Business Name

LISA ANN FUCCIOLO

Original Issue Date

09/05/1985

Effective Date

09/05/1985

Expiration Date

09/30/1994

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005