RICHARD DEAN CORLEY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010469

License Status

INACTIVE

Business

First Name

RICHARD DEAN

Last Name

CORLEY

Business Name

RICHARD DEAN CORLEY

Original Issue Date

08/05/1954

Effective Date

08/05/1954

Expiration Date

09/30/1992

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005