HORACE LEE GLENN JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

Title

DDS

First Name

HORACE

Middle

LEE

Last Name

GLENN

Suffix

Business Name

HORACE LEE GLENN JR DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005