LISA K MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006880

License Status

NOT RENEWED

Business

First Name

LISA K

Last Name

MARTIN

Business Name

LISA K MARTIN

Original Issue Date

03/04/1989

Effective Date

03/04/1989

Expiration Date

09/30/1990

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005