License holder summary

Ellis, Susan A is a Dentist licensed to practice in Missouri. The address on file for Ellis, Susan A is 3615 W. Roanoke Drive , Kansas City 64111. This licensed professional license is current. The license was granted 08/24/1981 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Ellis, Susan A
Dentist
License number
013609  
Date granted
08/24/1981
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
3615 W. Roanoke Drive 
licensingmissouri.org
ID 2017594
LAST UPDATED 2026-04-21 13:16:58 UTC

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