LISA ANN BANACH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011827

License Status

ACTIVE

Business

First Name

LISA

Middle

ANN

Last Name

BANACH

Business Name

LISA ANN BANACH

Original Issue Date

07/21/2006

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/16/2024