ELLEN ANNE SLACK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000148

License Status

INACTIVE

Business

First Name

ELLEN ANNE

Last Name

SLACK

Business Name

ELLEN ANNE SLACK

Original Issue Date

08/12/1952

Effective Date

08/12/1952

Expiration Date

09/30/1990

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005