JOHN RICHARD ELLIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

JOHN RICHARD

Last Name

ELLIS

Suffix

DDS

Business Name

JOHN RICHARD ELLIS DDS

Original Issue Date

01/01/1998

Effective Date

08/16/2012

Expiration Date

09/30/2015

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016