LISA L POTTER - Dentist License in Illinois | # 020010626

LISA L POTTER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010626

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

L

Last Name

POTTER

Business Name

LISA L POTTER

Original Issue Date

06/18/2003

Effective Date

09/11/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016