BRIAN ROSS JUDD DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000245

License Status

EXPIRED

Business

Title

DDS

First Name

BRIAN

Middle

ROSS

Last Name

JUDD

Business Name

BRIAN ROSS JUDD DDS

Original Issue Date

04/16/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/28/2022