ROSSANNE M BURRIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000541

License Status

NOT RENEWED

Business

First Name

ROSSANNE

Middle

Last Name

BURRIS

Business Name

ROSSANNE M BURRIS

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018