ELLEN T BLAND Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003210

License Status

NOT RENEWED

Business

First Name

ELLEN T

Last Name

BLAND

Business Name

ELLEN T BLAND

Original Issue Date

07/07/1977

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

10/31/2018