ELLEN FRANCES BERRY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025884

License Status

INACTIVE

Business

First Name

ELLEN

Middle

FRANCES

Last Name

BERRY

Business Name

ELLEN FRANCES BERRY

Original Issue Date

06/18/2002

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

LEAWOOD

State

Zip

66206

County

KANSAS

Ever Disciplined

LastModifiedDate

06/04/2009