ELIZABETH ANN LEWIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011066

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

ANN

Last Name

LEWIS

Business Name

ELIZABETH ANN LEWIS

Original Issue Date

07/02/2004

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2024