MELITTA T EBNER - Dentist License in Illinois | # 020003436

MELITTA T EBNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003436

License Status

NOT RENEWED

Business

N

First Name

MELITTA T

Last Name

EBNER

Business Name

MELITTA T EBNER

Original Issue Date

04/04/1978

Effective Date

04/04/1978

Expiration Date

04/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005