BRIAN LEE KLOBERDANZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001535

License Status

NOT RENEWED

Business

First Name

BRIAN LEE

Last Name

KLOBERDANZ

Business Name

BRIAN LEE KLOBERDANZ

Original Issue Date

01/11/1991

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

05/09/2022