BRANDON DANIEL FULL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034150

License Status

ACTIVE

Business

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

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/12/2024