JOHN RICHARD ELLIS DDS - Dentist License in Illinois | # 019014465

JOHN RICHARD ELLIS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014465

License Status

NOT RENEWED

Business

N

First Name

JOHN RICHARD

Last Name

ELLIS

Suffix

DDS

Business Name

JOHN RICHARD ELLIS DDS

Original Issue Date

12/13/1972

Effective Date

08/16/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016