ROBERT ELLSWORTH LAW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014905

License Status

NOT RENEWED

Business

First Name

ROBERT ELLSWORTH

Last Name

LAW

Suffix

DDS

Business Name

ROBERT ELLSWORTH LAW DDS

Original Issue Date

07/17/1974

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

01/08/2010