ELLEN H DACE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

Title

DMD

First Name

ELLEN

Middle

Last Name

DACE

Business Name

ELLEN H DACE DMD

Original Issue Date

08/24/2019

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024