ELIZABETH K ELLEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000712

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

ELLEN

Business Name

ELIZABETH K ELLEN

Original Issue Date

07/06/1993

Effective Date

07/06/1993

Expiration Date

09/08/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1993004667

Action

Fine

Discipline Start Date

09/27/1993

Discipline Reason

Alleged unlicensed practice.