BRANDON MARSHALL WEST DDS - Dentist License in Illinois | # 019032256

BRANDON MARSHALL WEST DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032256

License Status

INACTIVE

Business

N

Title

DDS

First Name

BRANDON

Middle

MARSHALL

Last Name

WEST

Business Name

BRANDON MARSHALL WEST DDS

Original Issue Date

07/19/2019

Effective Date

10/22/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

05/01/2024