ALEXANDRA LYNN ELLIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013527

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

LYNN

Last Name

ELLIS

Business Name

ALEXANDRA LYNN ELLIS

Original Issue Date

06/21/2011

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2024