MATTHEW PATRICK ELLISON DDS - Dentist License in Illinois | # 019030418

MATTHEW PATRICK ELLISON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030418

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018