LISA MICHELE MELKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010136

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELE

Last Name

MELKA

Business Name

LISA MICHELE MELKA

Original Issue Date

08/24/2001

Effective Date

08/24/2001

Expiration Date

09/30/2002

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005