LISA PORAPAIBOON HANSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002400

License Status

ACTIVE

Business

Title

DDS

First Name

LISA

Middle

PORAPAIBOON

Last Name

HANSON

Business Name

LISA PORAPAIBOON HANSON DDS

Original Issue Date

03/10/2011

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

05/06/2024