VENITRESS RENEA BRYANT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

VENITRESS RENEA

Last Name

BRYANT

Suffix

DDS

Business Name

VENITRESS RENEA BRYANT DDS

Original Issue Date

06/06/2001

Effective Date

06/06/2001

Expiration Date

09/30/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005