KELLY JO ELLIOTT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005816

License Status

INACTIVE

Business

First Name

KELLY JO

Last Name

ELLIOTT

Business Name

KELLY JO ELLIOTT

Original Issue Date

07/17/1985

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

07/24/2006