LISA PORAPAIBOON HANSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

Title

DDS

First Name

LISA

Middle

PORAPAIBOON

Last Name

HANSON

Business Name

LISA PORAPAIBOON HANSON DDS

Original Issue Date

06/11/2009

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024