BRIAN SCOTT VENCE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

BRIAN SCOTT

Last Name

VENCE

Business Name

BRIAN SCOTT VENCE

Original Issue Date

04/08/1992

Effective Date

04/08/1992

Expiration Date

09/30/1994

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005