GEORGE WILLIAM BRENT DDS - Dentist License in Illinois | # 021000561

GEORGE WILLIAM BRENT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000561

License Status

NOT RENEWED

Business

N

First Name

GEORGE

Middle

WILLIAM

Last Name

BRENT

Suffix

DDS

Business Name

GEORGE WILLIAM BRENT DDS

Original Issue Date

12/07/1967

Effective Date

07/20/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

N

LastModifiedDate

02/08/2016