ELLYSE HENKLE DMD

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****74

ACTIVE

N

DMD

ELLYSE

HENKLE

ELLYSE HENKLE DMD

08/15/2025

08/15/2025

09/30/2027

HOMER GLEN

IL

60491

WILL

PRACTITIONER

II III IV V

N

08/15/2025