BRIAN LEE ROYSE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000282

License Status

INACTIVE

Business

First Name

BRIAN LEE

Last Name

ROYSE

Business Name

BRIAN LEE ROYSE

Original Issue Date

11/21/1990

Effective Date

11/21/1990

Expiration Date

09/30/1992

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/13/2005