DEBRA LYNN EZELLE - Dentist License in Illinois | # 020005187

DEBRA LYNN EZELLE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005187

License Status

NOT RENEWED

Business

N

First Name

DEBRA LYNN

Last Name

EZELLE

Business Name

DEBRA LYNN EZELLE

Original Issue Date

06/06/1983

Effective Date

06/06/1983

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005