JOHN T LISAC DDS - Dentist License in Illinois | # 021001623

JOHN T LISAC DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001623

License Status

INACTIVE

Business

N

First Name

JOHN T

Last Name

LISAC

Suffix

DDS

Business Name

JOHN T LISAC DDS

Original Issue Date

09/11/1992

Effective Date

09/25/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

06/08/2015