LISA M STOUT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008516

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

STOUT

Business Name

LISA M STOUT

Original Issue Date

07/19/1995

Effective Date

02/19/2013

Expiration Date

09/30/2015

City

ELSBERRY

State

Zip

63343

Ever Disciplined

LastModifiedDate

04/25/2016