ELIZABETH ANN TUCKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001037

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005