BRIAN LEE ROYSE - Dentist License in Illinois | # 137000282

BRIAN LEE ROYSE

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000282

License Status

INACTIVE

Business

N

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

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/13/2005