AILEEN LUCILLE WITALIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000019

License Status

NOT RENEWED

Business

First Name

AILEEN LUCILLE

Last Name

WITALIS

Business Name

AILEEN LUCILLE WITALIS

Original Issue Date

02/10/1947

Effective Date

02/10/1947

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005