LISA PORAPAIBOON HANSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000755

License Status

NOT RENEWED

Business

Title

DDS

First Name

LISA

Middle

PORAPAIBOON

Last Name

HANSON

Business Name

LISA PORAPAIBOON HANSON DDS

Original Issue Date

07/13/2009

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/09/2022