ELLIOT D DIBBS DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****75

NOT RENEWED

N

ELLIOT D

DIBBS

DDS

ELLIOT D DIBBS DDS

05/24/1994

05/24/1994

09/30/2002

WAUCONDA

IL

60084

LAKE

II III IV V

N

10/17/2005