SUSAN M W BRANDENBURG DDS Dentist License verification

SUSAN M W BRANDENBURG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014803

License Status

NOT RENEWED

Business

First Name

SUSAN M W

Last Name

BRANDENBURG

Suffix

DDS

Business Name

SUSAN M W BRANDENBURG DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1999004355

Action

Revocation

Discipline Start Date

04/27/2001

Discipline Reason

Prescribed excessive amounts of controlled substances to his wife, failed to maintain adequate records or inventory of dispensing controlled substances and failed to submit proof of required continuing education hours.