LISA M JOSEPH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008677

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

JOSEPH

Business Name

LISA M JOSEPH

Original Issue Date

06/12/1996

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/09/2022