BRIAN RAYMOND ETSCHEID - Dentist License in Illinois | # 019019590

BRIAN RAYMOND ETSCHEID

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019590

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005