BRIAN LEE ROYSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

BRIAN LEE

Last Name

ROYSE

Business Name

BRIAN LEE ROYSE

Original Issue Date

08/12/1985

Effective Date

08/12/1985

Expiration Date

09/30/1992

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005