BRENT R LANG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000458

License Status

NOT RENEWED

Business

First Name

BRENT R

Last Name

LANG

Business Name

BRENT R LANG

Original Issue Date

06/27/1990

Effective Date

06/27/1990

Expiration Date

06/30/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005