Lisa M Gannon
InactiveIllinois license 020006887
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020006887
- Status
- Inactive
- First issued
- March 21, 1989
- Expired
- September 30, 2000
- License holder
- Lisa M Gannon
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 03/21/1989
Contact
Woodstock, GA 30189
Georgia County