Susan J Ellenz Dds
InactiveIllinois license 021001433
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 021001433
- Status
- Inactive
- First issued
- August 1, 1989
- Expired
- September 30, 2015
- License holder
- Susan J Ellenz Dds
- Entity type
- Individual
Classifications
- Licensed Specialist in Dentistry (Dental) Dental
More from the license record
- Specialty
- Endodontics
- 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