BRYAN W MCLELLAND DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

MCLELLAND

Suffix

DDS

Business Name

BRYAN W MCLELLAND DDS

Original Issue Date

10/14/1997

Effective Date

10/14/1997

Expiration Date

09/30/2004

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005