J BRENT BEAGLE - Dentist License in Illinois | # 019018044

J BRENT BEAGLE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018044

License Status

NOT RENEWED

Business

N

First Name

J BRENT

Last Name

BEAGLE

Business Name

J BRENT BEAGLE

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005