LISA A CHARLES FIELDS - Dentist License in Illinois | # 020006595

LISA A CHARLES FIELDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006595

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

A

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005