LISA A CHARLES FIELDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006595

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

CHARLES FIELDS

Business Name

LISA A CHARLES FIELDS

Original Issue Date

02/10/1988

Effective Date

02/10/1988

Expiration Date

09/30/2002

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005