License holder summary

Ellis, Timothy Ray is a Dentist licensed to practice in Missouri. The address on file for Ellis, Timothy Ray is 12518 A Street  68144. This licensed professional license is current. The license was granted 04/28/2009 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Ellis, Timothy Ray
Dentist
License number
2009010129  
Date granted
04/28/2009
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
12518 A Street 
licensingmissouri.org
ID 2017600
LAST UPDATED 2024-03-24 13:03:14 UTC

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