ELLEN JANINE ANDERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002212

License Status

ACTIVE

Business

First Name

ELLEN JANINE

Last Name

ANDERSON

Business Name

ELLEN JANINE ANDERSON

Original Issue Date

07/03/1974

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

09/30/2024