ELLEN HAILEMELECOT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001953

License Status

NOT RENEWED

Business

Title

DDS

First Name

ELLEN

Last Name

HAILEMELECOT

Business Name

ELLEN HAILEMELECOT DDS

Original Issue Date

06/16/2015

Effective Date

07/01/2015

Expiration Date

07/01/2016

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

03/09/2017