BRANDON DANIEL FULL - Dentist License in Illinois | # 019034150

BRANDON DANIEL FULL

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034150

License Status

ACTIVE

Business

N

First Name

BRANDON

Middle

DANIEL

Last Name

FULL

Business Name

BRANDON DANIEL FULL

Original Issue Date

04/15/2023

Effective Date

05/01/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/12/2024