Lisa C Kirk
ExpiredIllinois license 020011109
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020011109
- Status
- Expired (Not Renewed)
- First issued
- August 2, 2004
- Expired
- September 30, 2012
- License holder
- Lisa C Kirk
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 02/17/2011
Contact
Waterloo, IL 62298
Monroe County