LISA LOUISE BLACKLEDGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009481

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LOUISE

Last Name

BLACKLEDGE

Business Name

LISA LOUISE BLACKLEDGE

Original Issue Date

06/15/1999

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/09/2022