ELIZABETH ANN TUCKER DDS - Dentist License in Illinois | # 018001037

ELIZABETH ANN TUCKER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001037

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

ANN

Last Name

TUCKER

Suffix

DDS

Business Name

ELIZABETH ANN TUCKER DDS

Original Issue Date

07/03/1997

Effective Date

07/03/1997

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005