LISA M ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010193

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

ANDERSON

Business Name

LISA M ANDERSON

Original Issue Date

10/15/2001

Effective Date

12/05/2021

Expiration Date

09/30/2024

City

WESTFIELD

State

Zip

46074

Ever Disciplined

LastModifiedDate

02/04/2025