LARISSA MARIE SWANSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015117

License Status

NOT RENEWED

Business

First Name

LARISSA

Middle

MARIE

Last Name

SWANSON

Business Name

LARISSA MARIE SWANSON

Original Issue Date

07/23/2015

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

BEECHER

State

Zip

60401

County

WILL

Ever Disciplined

LastModifiedDate

05/09/2022