ROBERT ELLSWORTH LAW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

ROBERT ELLSWORTH

Last Name

LAW

Suffix

DDS

Business Name

ROBERT ELLSWORTH LAW DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005