CRAIG C ELLSWORTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000490

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

Last Name

ELLSWORTH

Business Name

CRAIG C ELLSWORTH

Original Issue Date

07/31/1990

Effective Date

07/31/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005