ELLIOTT HODGES DUDLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000967

License Status

NOT RENEWED

Business

First Name

ELLIOTT HODGES

Last Name

DUDLEY

Suffix

DDS

Business Name

ELLIOTT HODGES DUDLEY DDS

Original Issue Date

08/03/1996

Effective Date

08/03/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005