ANDREA TRACY ELAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005589

License Status

NOT RENEWED

Business

First Name

ANDREA TRACY

Last Name

ELAM

Business Name

ANDREA TRACY ELAM

Original Issue Date

08/02/1984

Effective Date

08/02/1984

Expiration Date

09/30/1986

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

10/12/2005