ELLEN A SHERIDAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020409

License Status

NOT RENEWED

Business

First Name

ELLEN A

Last Name

SHERIDAN

Business Name

ELLEN A SHERIDAN

Original Issue Date

10/21/1986

Effective Date

10/21/1986

Expiration Date

09/30/1988

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/12/2005