RONALD LEE GALIENE DDS - Dentist License in Illinois | # 021000623

RONALD LEE GALIENE DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000623

License Status

INACTIVE

Business

N

First Name

RONALD LEE

Last Name

GALIENE

Suffix

DDS

Business Name

RONALD LEE GALIENE DDS

Original Issue Date

12/08/1969

Effective Date

12/08/1969

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/17/2005