HOLLY ANN MATIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004640

License Status

NOT RENEWED

Business

First Name

HOLLY ANN

Last Name

MATIS

Business Name

HOLLY ANN MATIS

Original Issue Date

07/21/1981

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

ELGIN

State

Zip

60123

Ever Disciplined

LastModifiedDate

11/14/2012