MARY JOSEPHINE ELLIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001369

License Status

NOT RENEWED

Business

First Name

MARY JOSEPHINE

Last Name

ELLIS

Business Name

MARY JOSEPHINE ELLIS

Original Issue Date

08/18/1970

Effective Date

08/18/1970

City

PEWEE VALLEY

State

Zip

40056

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/12/2005