MARY ANN HOLLIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

HOLLIS

Suffix

DDS

Business Name

MARY ANN HOLLIS DDS

Original Issue Date

10/11/2000

Effective Date

10/11/2000

Expiration Date

09/30/2006

City

CHANNAHON

State

Zip

60410

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006