ANN MARIE LISNICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

ANN MARIE

Last Name

LISNICH

Business Name

ANN MARIE LISNICH

Original Issue Date

01/10/1997

Effective Date

12/31/2015

Expiration Date

09/30/2018

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018