BRIAN AVERY LILIEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000325

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

AVERY

Last Name

LILIEN

Suffix

DDS

Business Name

BRIAN AVERY LILIEN DDS

Original Issue Date

04/25/1989

Effective Date

04/25/1989

Expiration Date

06/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005