ELLEN F PALMER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000929

License Status

INACTIVE

Business

First Name

ELLEN

Middle

Last Name

PALMER

Business Name

ELLEN F PALMER

Original Issue Date

07/20/1967

Effective Date

07/02/2012

Expiration Date

09/30/2015

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/08/2015