LISA C KIRK - Dentist License in Illinois | # 020011109

LISA C KIRK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011109

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

C

Last Name

KIRK

Business Name

LISA C KIRK

Original Issue Date

08/02/2004

Effective Date

02/17/2011

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012