SHARON LUBBEN ELLIS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001757

License Status

INACTIVE

Business

First Name

SHARON LUBBEN

Last Name

ELLIS

Business Name

SHARON LUBBEN ELLIS

Original Issue Date

07/13/1972

Effective Date

08/19/2009

Expiration Date

09/30/2012

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/06/2012