Lisa J H Bloxdorf
ExpiredIllinois license 020004171
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020004171
- Status
- Expired (Not Renewed)
- First issued
- July 15, 1980
- Expired
- January 31, 2022
- License holder
- Lisa J H Bloxdorf
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 04/30/2020
Contact
Pleasant Prairie, WI 53158
Wisconsin County