LISA A GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007684

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

GREEN

Business Name

LISA A GREEN

Original Issue Date

07/08/1992

Effective Date

11/01/2021

Expiration Date

09/30/2024

City

GRAFTON

State

Zip

62037

County

JERSEY

Ever Disciplined

LastModifiedDate

02/04/2025