ELLEN G SHEMANCIK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

ELLEN G

Last Name

SHEMANCIK

Business Name

ELLEN G SHEMANCIK

Original Issue Date

01/25/1989

Effective Date

01/25/1989

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005