LAURA MICHELLE POLIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024910

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

MICHELLE

Last Name

POLIS

Suffix

DMD

Business Name

LAURA MICHELLE POLIS DMD

Original Issue Date

11/19/1998

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/08/2006