Lisa J Ippolito
ExpiredIllinois license 020003263
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003263
- Status
- Expired (Not Renewed)
- First issued
- July 20, 1977
- Expired
- September 30, 2015
- License holder
- Lisa J Ippolito
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/11/2012
Contact
Rockford, IL 61107
Winnebago County