MICHELE A ELLIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003613

License Status

NOT RENEWED

Business

First Name

MICHELE A

Last Name

ELLIS

Business Name

MICHELE A ELLIS

Original Issue Date

07/14/1978

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2012