DONALD LEE BROWN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

LEE

Last Name

BROWN

Suffix

DDS

Business Name

DONALD LEE BROWN DDS

Original Issue Date

05/26/2006

Effective Date

07/16/2009

Expiration Date

09/30/2012

City

KEWANEE

State

Zip

61443

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/14/2012