LEE BRIAN STANSBURY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016644

License Status

NOT RENEWED

Business

First Name

LEE BRIAN

Last Name

STANSBURY

Suffix

DDS

Business Name

LEE BRIAN STANSBURY DDS

Original Issue Date

06/18/1979

Effective Date

08/17/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012