BRIAN ALLISON MITCHELL DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002028

License Status

EXPIRED

Business

Title

DDS

First Name

BRIAN

Middle

ALLISON

Last Name

MITCHELL

Business Name

BRIAN ALLISON MITCHELL DDS

Original Issue Date

06/12/2017

Effective Date

07/01/2017

Expiration Date

06/30/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/28/2022