LESTER EUGENE BRADY DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****56

NOT RENEWED

N

LESTER EUGENE

BRADY

DDS

LESTER EUGENE BRADY DDS

01/01/1998

09/30/2004

MATTOON

IL

61938

COLES

II III IV V

N

10/17/2005