BRIAN RAYMOND ETSCHEID Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019590

License Status

NOT RENEWED

Business

First Name

BRIAN RAYMOND

Last Name

ETSCHEID

Business Name

BRIAN RAYMOND ETSCHEID

Original Issue Date

07/12/1985

Effective Date

07/12/1985

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005