LISA ANNE SAMBROOKS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014984

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANNE

Last Name

SAMBROOKS

Business Name

LISA ANNE SAMBROOKS

Original Issue Date

11/24/2014

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

LAFAYETTE

State

Zip

32905

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018