BASIL W REMLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020975

License Status

NOT RENEWED

Business

First Name

BASIL W

Last Name

REMLEY

Business Name

BASIL W REMLEY

Original Issue Date

12/07/1987

Effective Date

12/07/1987

Expiration Date

09/30/1992

City

ROCKFORD

State

Zip

61106

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005