BRANDON P L GRAY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000855

License Status

ACTIVE

Business

Title

DDS

First Name

BRANDON

Middle

P L

Last Name

GRAY

Business Name

BRANDON P L GRAY DDS

Original Issue Date

09/20/2012

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

08/05/2024