SHAILA JEAN LESICKO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016094

License Status

ACTIVE

Business

First Name

SHAILA

Middle

JEAN

Last Name

LESICKO

Business Name

SHAILA JEAN LESICKO

Original Issue Date

03/06/2018

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

WORDEN

State

Zip

62097

County

MADISON

Ever Disciplined

LastModifiedDate

09/18/2024