AMY ELLIS GREEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023645

License Status

NOT RENEWED

Business

First Name

AMY ELLIS

Last Name

GREEN

Suffix

DMD

Business Name

AMY ELLIS GREEN DMD

Original Issue Date

08/03/1994

Effective Date

08/03/1994

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005