LYNAE D ELLIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002100

License Status

ACTIVE

Business

Title

DDS

First Name

LYNAE

Middle

Last Name

ELLIS

Business Name

LYNAE D ELLIS DDS

Original Issue Date

08/10/2004

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/29/2025