ELLEN ZIMMER FISCHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

Title

DDS

First Name

ELLEN

Middle

ZIMMER

Last Name

FISCHER

Business Name

ELLEN ZIMMER FISCHER DDS

Original Issue Date

05/26/2011

Effective Date

07/30/2018

Expiration Date

01/31/2022

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022