ELLEN RUTH HOFFMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

Title

DMD

First Name

ELLEN

Middle

RUTH

Last Name

HOFFMAN

Business Name

ELLEN RUTH HOFFMAN DMD

Original Issue Date

04/07/2014

Effective Date

07/28/2015

Expiration Date

09/30/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018