Alisa Basara Phoenix
InactiveIllinois license 020006027
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020006027
- Status
- Inactive
- First issued
- January 15, 1986
- Expired
- September 30, 1990
- License holder
- Alisa Basara Phoenix
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 01/15/1986
Contact
Gainesville, FL 32606
Florida County