ANNA LISA STACCONE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013057

License Status

NOT RENEWED

Business

First Name

ANNA LISA

Last Name

STACCONE

Business Name

ANNA LISA STACCONE

Original Issue Date

09/15/2009

Effective Date

09/27/2018

Expiration Date

01/31/2022

City

MEDINAH

State

Zip

60157

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022