MATTHEW PATRICK ELLISON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030418

License Status

NOT RENEWED

Business

Title

DDS

First Name

MATTHEW

Middle

PATRICK

Last Name

ELLISON

Business Name

MATTHEW PATRICK ELLISON DDS

Original Issue Date

08/04/2015

Effective Date

08/04/2015

Expiration Date

09/30/2018

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018