BRANDON M PIPER DMD - Dentist License in Illinois | # 018001605

BRANDON M PIPER DMD

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001605

License Status

EXPIRED

Business

N

Title

DMD

First Name

BRANDON

Middle

M

Last Name

PIPER

Business Name

BRANDON M PIPER DMD

Original Issue Date

07/24/2006

Effective Date

07/17/2007

Expiration Date

07/13/2008

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

07/31/2008