LISA ANN VAN DE RIET Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009419

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

VAN DE RIET

Business Name

LISA ANN VAN DE RIET

Original Issue Date

03/04/1999

Effective Date

03/04/1999

Expiration Date

09/30/2000

City

FLORISSANT

State

Zip

63033

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005