PETER ELLIS GLATZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016876

License Status

NOT RENEWED

Business

First Name

PETER ELLIS

Last Name

GLATZ

Suffix

DDS

Business Name

PETER ELLIS GLATZ DDS

Original Issue Date

07/26/1979

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/09/2022