ELLEN MARY BARNES DDS - Dentist License in Illinois | # 021001072

ELLEN MARY BARNES DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001072

License Status

INACTIVE

Business

N

First Name

ELLEN MARY

Last Name

BARNES

Suffix

DDS

Business Name

ELLEN MARY BARNES DDS

Original Issue Date

06/12/1980

Effective Date

09/07/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

N

LastModifiedDate

06/08/2015