BRENT R LANG - Dentist License in Illinois | # 018000458

BRENT R LANG

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000458

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005