KELLY D ELDIB Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007640

License Status

NOT RENEWED

Business

First Name

KELLY D

Last Name

ELDIB

Business Name

KELLY D ELDIB

Original Issue Date

05/16/1992

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2007