LISA L POTTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010626

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

POTTER

Business Name

LISA L POTTER

Original Issue Date

06/18/2003

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

04/25/2016