ALISA GAIL GILLEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008365

License Status

ACTIVE

Business

First Name

ALISA GAIL

Last Name

GILLEN

Business Name

ALISA GAIL GILLEN

Original Issue Date

08/22/1994

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

CAMERON

State

Zip

61423

County

WARREN

Ever Disciplined

LastModifiedDate

09/03/2024