SHALISE M HOLT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002884

License Status

NOT RENEWED

Business

Title

DDS

First Name

SHALISE

Middle

Last Name

HOLT

Business Name

SHALISE M HOLT DDS

Original Issue Date

08/13/2018

Effective Date

08/13/2018

Expiration Date

01/31/2022

City

HANOVER PARK

State

Zip

60133

County

COOK

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

LastModifiedDate

05/09/2022