MICHELLE E CORNELISON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014216

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

CORNELISON

Business Name

MICHELLE E CORNELISON

Original Issue Date

11/29/2012

Effective Date

11/29/2012

Expiration Date

09/30/2015

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016