MARY JOSEPHINE ELLIS - Dentist License in Kentucky | # 020001369

MARY JOSEPHINE ELLIS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001369

License Status

NOT RENEWED

Business

N

First Name

MARY JOSEPHINE

Last Name

ELLIS

Business Name

MARY JOSEPHINE ELLIS

Original Issue Date

08/18/1970

Effective Date

08/18/1970

State

KY

Ever Disciplined

N

LastModifiedDate

10/12/2005