LISA REBECCA JOLLY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033877

License Status

NOT RENEWED

Business

Title

DDS

First Name

LISA

Middle

REBECCA

Last Name

JOLLY

Business Name

LISA REBECCA JOLLY DDS

Original Issue Date

07/06/2022

Effective Date

07/06/2022

Expiration Date

09/30/2024

City

GALENA

State

Zip

21635

Ever Disciplined

LastModifiedDate

02/04/2025