LISA M VALENZUELA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013616

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

VALENZUELA

Business Name

LISA M VALENZUELA

Original Issue Date

07/06/2011

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/25/2016