BRANDON M PIPER DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001605

License Status

EXPIRED

Business

Title

DMD

First Name

BRANDON

Middle

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

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

07/31/2008