LISA A FITZGIBBON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007140

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

FITZGIBBON

Business Name

LISA A FITZGIBBON

Original Issue Date

06/05/1990

Effective Date

06/05/1990

Expiration Date

09/30/1992

City

WATSEKA

State

Zip

60970

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/12/2005