LISA MICHELLE BOSCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012778

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

BOSCH

Business Name

LISA MICHELLE BOSCH

Original Issue Date

03/25/2009

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

11/14/2012