ELIZABETH ANN AYALA - Dentist License in Illinois | # 020012836

ELIZABETH ANN AYALA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012836

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

ANN

Last Name

AYALA

Business Name

ELIZABETH ANN AYALA

Original Issue Date

06/09/2009

Effective Date

06/09/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012