LISA MARIE HERNDON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010377

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

HERNDON

Business Name

LISA MARIE HERNDON

Original Issue Date

07/09/2002

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

ROUND LAKE

State

Zip

60073

Ever Disciplined

LastModifiedDate

09/12/2024