BRIAN LEE ROYSE - Dentist License in Illinois | # 019019697

BRIAN LEE ROYSE

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019697

License Status

INACTIVE

Business

N

First Name

BRIAN LEE

Last Name

ROYSE

Business Name

BRIAN LEE ROYSE

Original Issue Date

07/29/1985

Effective Date

07/29/1985

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005