Ivan Lester Staley Dds
ExpiredIllinois license 021000264
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 021000264
- Status
- Expired (Not Renewed)
- First issued
- January 10, 1958
- Expired
- September 30, 1984
- License holder
- Ivan Lester Staley Dds
- Entity type
- Individual
Classifications
- Licensed Specialist in Dentistry (Dental) Dental
More from the license record
- Specialty
- Orthodontics
- Current term began
- 01/10/1958
Other Illinois licenses under this name
-
IL
ExpiredDecatur, ILExpired Sep 30, 1984
Contact
Decatur, IL 62526
Macon County