MARY ELLEN GRILLY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

First Name

MARY ELLEN

Last Name

GRILLY

Suffix

DDS

Business Name

MARY ELLEN GRILLY DDS

Original Issue Date

01/18/1982

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

DANVILLE

State

Zip

61834

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024