Lisa J Clark
InactiveIllinois license 020005287
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005287
- Status
- Inactive
- First issued
- July 18, 1983
- Expired
- September 30, 1992
- License holder
- Lisa J Clark
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/18/1983
Contact
Dover Fox Croft, ME 04426
Maine County