BRIAN R DE GISE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021668

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

DE GISE

Suffix

DDS

Business Name

BRIAN R DE GISE DDS

Original Issue Date

08/05/1989

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/01/2024