BRENT R LANG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022531

License Status

NOT RENEWED

Business

First Name

BRENT R

Last Name

LANG

Business Name

BRENT R LANG

Original Issue Date

08/01/1991

Effective Date

08/01/1991

Expiration Date

09/30/1992

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005