BRANDON ROGERS PRUSA DDS - Dentist License in Illinois | # 019028511

BRANDON ROGERS PRUSA DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028511

License Status

ACTIVE

Business

N

Title

DDS

First Name

BRANDON

Middle

ROGERS

Last Name

PRUSA

Business Name

BRANDON ROGERS PRUSA DDS

Original Issue Date

10/05/2010

Effective Date

08/13/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/13/2024