Richard S Prouse

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019018789

Status

Expired (Not Renewed)

First issued

September 2, 1983

Expired

September 30, 1986

License holder

Richard S Prouse

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

09/02/1983

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