JESS TAYLOR ELLIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

JESS TAYLOR

Last Name

ELLIS

Business Name

JESS TAYLOR ELLIS

Original Issue Date

07/08/1983

Effective Date

07/08/1983

Expiration Date

09/30/1990

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005