ELLEN FULLERTON TAYLOR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015832

License Status

ACTIVE

Business

First Name

ELLEN

Middle

FULLERTON

Last Name

TAYLOR

Business Name

ELLEN FULLERTON TAYLOR

Original Issue Date

07/27/2017

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/24/2024