BRANDON MICHAEL GARDNER - Dentist License in Illinois | # 019029131

BRANDON MICHAEL GARDNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029131

License Status

NOT RENEWED

Business

N

First Name

BRANDON

Middle

MICHAEL

Last Name

GARDNER

Business Name

BRANDON MICHAEL GARDNER

Original Issue Date

07/13/2012

Effective Date

09/19/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022