BRIAN DOUGLAS WERNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019863

License Status

NOT RENEWED

Business

First Name

BRIAN DOUGLAS

Last Name

WERNER

Business Name

BRIAN DOUGLAS WERNER

Original Issue Date

10/01/1985

Effective Date

09/11/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022