License holder summary

Lisa Michelle Mellberg is a Dental - Dental Hygienist licensed to practice in Colorado. The address on file for Lisa Michelle Mellberg is 217 E. Brook Hollow Dr., Phoenix, AZ, 85022-5022. This licensed professional license is not current. The license was granted 06/15/1995 and expired on 02/29/2012.

Colorado

Division of Professions and Occupations

Lisa Michelle Mellberg
Dental - Dental Hygienist
License number
903163
Date granted
06/15/1995
Date expires
02/29/2012
Class
Dental - Dental Hygienist
Status
Expired
Address
217 E. Brook Hollow Dr., Phoenix, AZ, 85022-5022
coloradolicensing.org
ID 27263178
LAST UPDATED 2024-02-22 02:50:52 UTC

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