BRANDON MARSHALL WEST DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002981

License Status

INACTIVE

Business

Title

DDS

First Name

BRANDON

Middle

MARSHALL

Last Name

WEST

Business Name

BRANDON MARSHALL WEST DDS

Original Issue Date

09/04/2019

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

05/01/2024