Lisa D Clark
ExpiredIllinois license 020010456
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010456
- Status
- Expired (Not Renewed)
- First issued
- August 22, 2002
- Expired
- September 30, 2015
- License holder
- Lisa D Clark
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/01/2012
Contact
Douglasville, GA 30135
Georgia County