Lisa Ann Fucciolo
ExpiredIllinois license 020005982
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005982
- Status
- Expired (Not Renewed)
- First issued
- September 5, 1985
- Expired
- September 30, 1994
- License holder
- Lisa Ann Fucciolo
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/05/1985
Contact
Glenview, IL 60025
Cook County