MICHAL ELIZABETH ELLIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010255

License Status

ACTIVE

Business

First Name

MICHAL

Middle

ELIZABETH

Last Name

ELLIS

Business Name

MICHAL ELIZABETH ELLIS

Original Issue Date

03/25/2002

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

09/27/2024