BRANDON ROBERT MADDOX Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025561

License Status

ACTIVE

Business

First Name

BRANDON

Middle

ROBERT

Last Name

MADDOX

Business Name

BRANDON ROBERT MADDOX

Original Issue Date

06/15/2001

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/22/2026