ELLIOT D DIBBS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000754

License Status

NOT RENEWED

Business

First Name

ELLIOT D

Last Name

DIBBS

Suffix

DDS

Business Name

ELLIOT D DIBBS DDS

Original Issue Date

02/24/1994

Effective Date

02/24/1994

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005