DANIELLE BRIANA VASILIEV DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DMD

First Name

DANIELLE

Middle

BRIANA

Last Name

VASILIEV

Business Name

DANIELLE BRIANA VASILIEV DMD

Original Issue Date

12/13/2024

Effective Date

12/13/2024

Expiration Date

09/30/2027

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025