BRIAN AVERY LILIEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

AVERY

Last Name

LILIEN

Suffix

DDS

Business Name

BRIAN AVERY LILIEN DDS

Original Issue Date

08/13/1993

Effective Date

08/13/1993

Expiration Date

09/30/1998

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005