GARY WILLIAM BRANKIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

GARY

Middle

WILLIAM

Last Name

BRANKIN

Suffix

DDS

Business Name

GARY WILLIAM BRANKIN DDS

Original Issue Date

07/21/1981

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2024