ANNA LISA STACCONE - Dentist License in Illinois | # 020013057

ANNA LISA STACCONE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013057

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022