BRIAN A ZALE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

ZALE

Suffix

DMD

Business Name

BRIAN A ZALE DMD

Original Issue Date

10/18/2000

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009