BRIAN CRAIG HOMANN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRIAN

Middle

CRAIG

Last Name

HOMANN

Business Name

BRIAN CRAIG HOMANN DDS

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016