BRIAN LEE KLOBERDANZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000284

License Status

NOT RENEWED

Business

First Name

BRIAN LEE

Last Name

KLOBERDANZ

Business Name

BRIAN LEE KLOBERDANZ

Original Issue Date

12/08/1990

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/09/2022