BRANDON BARIS WOOD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

First Name

BRANDON

Middle

BARIS

Last Name

WOOD

Business Name

BRANDON BARIS WOOD

Original Issue Date

06/02/2017

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2024