BRYAN D STAHL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020904

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

STAHL

Business Name

BRYAN D STAHL

Original Issue Date

10/17/1987

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

FOX RIVER GROVE

State

Zip

60021

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/14/2012