LISA C GOUWENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006632

License Status

NOT RENEWED

Business

First Name

LISA C

Last Name

GOUWENS

Business Name

LISA C GOUWENS

Original Issue Date

07/27/1988

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018