DANIEL GEORGE ELLENZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017867

License Status

NOT RENEWED

Business

First Name

DANIEL GEORGE

Last Name

ELLENZ

Suffix

DDS

Business Name

DANIEL GEORGE ELLENZ DDS

Original Issue Date

09/17/1981

Effective Date

09/17/1981

Expiration Date

09/30/1996

City

LACROSSE

State

Zip

54601

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/02/2013