BRIAN MICHAEL PENNIALL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026118

License Status

ACTIVE

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

PENNIALL

Suffix

DDS

Business Name

BRIAN MICHAEL PENNIALL DDS

Original Issue Date

06/09/2003

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60175

Ever Disciplined

LastModifiedDate

09/21/2024