LISA A DEVRIES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015381

License Status

ACTIVE

Business

First Name

LISA A

Last Name

DEVRIES

Business Name

LISA A DEVRIES

Original Issue Date

03/21/2016

Effective Date

07/04/2024

Expiration Date

09/30/2027

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/04/2024