CLIFFORD AVERY BROWN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

CLIFFORD AVERY

Last Name

BROWN

Suffix

DDS

Business Name

CLIFFORD AVERY BROWN DDS

Original Issue Date

01/01/1998

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016