ELIZABETH ANN AYALA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012836

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

AYALA

Business Name

ELIZABETH ANN AYALA

Original Issue Date

06/09/2009

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012