LISA C BOSNAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007227

License Status

NOT RENEWED

Business

First Name

LISA C

Last Name

BOSNAK

Business Name

LISA C BOSNAK

Original Issue Date

07/27/1990

Effective Date

07/27/1990

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60613

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005