LISA J SKROCKI IDNANI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026150

License Status

INACTIVE

Business

First Name

LISA

Middle

J SKROCKI

Last Name

IDNANI

Suffix

DDS

Business Name

LISA J SKROCKI IDNANI DDS

Original Issue Date

06/17/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

AUSTIN

State

Zip

78703

Ever Disciplined

LastModifiedDate

07/24/2006