Lisa K Holst
InactiveIllinois license 019022439
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019022439
- Status
- Inactive
- First issued
- April 23, 1991
- Expired
- September 30, 1992
- License holder
- Lisa K Holst
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 04/23/1991
Contact
Mequon, WI 53092
Wisconsin County