CHARLES LEWIS PROESEL JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014491

License Status

NOT RENEWED

Business

First Name

CHARLES LEWIS

Last Name

PROESEL JR

Suffix

DDS

Business Name

CHARLES LEWIS PROESEL JR DDS

Original Issue Date

12/13/1972

Effective Date

07/03/2018

Expiration Date

01/31/2022

City

GRIDLEY

State

Zip

61744

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/09/2022