LISA J GRACIANA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006054

License Status

ACTIVE

Business

First Name

LISA J

Last Name

GRACIANA

Business Name

LISA J GRACIANA

Original Issue Date

03/17/1986

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/05/2024