LISA M ALLIE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006309

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

ALLIE

Business Name

LISA M ALLIE

Original Issue Date

11/18/1986

Effective Date

11/18/1986

Expiration Date

09/30/1988

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005