Susan J Ellenz Dds
InactiveIllinois license 019019746
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019019746
- Status
- Inactive
- First issued
- August 7, 1985
- Expired
- September 30, 2015
- License holder
- Susan J Ellenz Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 10/01/2012
Other Illinois licenses under this name
-
IL
InactiveRockford, ILExpired Sep 30, 2015
-
IL
ExpiredRockford, ILExpired Sep 30, 2015
Contact
Rockford, IL 61107
Winnebago County