BRIAN EDWIN BAILEY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

First Name

BRIAN

Middle

EDWIN

Last Name

BAILEY

Suffix

DMD

Business Name

BRIAN EDWIN BAILEY DMD

Original Issue Date

06/19/2007

Effective Date

07/10/2024

Expiration Date

09/30/2027

City

PALOS

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2024