CLIFFORD AVERY BROWN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000189

License Status

INACTIVE

Business

First Name

CLIFFORD AVERY

Last Name

BROWN

Suffix

DDS

Business Name

CLIFFORD AVERY BROWN DDS

Original Issue Date

01/12/1990

Effective Date

01/12/1990

Expiration Date

09/30/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/13/2005