AMY ELLIS GREEN DMD - Dentist License in Illinois | # 018000791

AMY ELLIS GREEN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000791

License Status

NOT RENEWED

Business

N

First Name

AMY ELLIS

Last Name

GREEN

Suffix

DMD

Business Name

AMY ELLIS GREEN DMD

Original Issue Date

07/14/1994

Effective Date

07/14/1994

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018