JUDITH A FORAL ELLIOTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000979

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

FORAL ELLIOTT

Business Name

JUDITH A FORAL ELLIOTT

Original Issue Date

12/07/1967

Effective Date

12/07/1967

Expiration Date

09/30/1994

City

OMAHA

State

Zip

68124

County

NEBRASKA

Ever Disciplined

LastModifiedDate

10/12/2005