MICHELLE E CORNELISON - Dentist License in Illinois | # 020014216

MICHELLE E CORNELISON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014216

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

E

Last Name

CORNELISON

Business Name

MICHELLE E CORNELISON

Original Issue Date

11/29/2012

Effective Date

11/29/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016