BRANDON RICHARD KLEIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

BRANDON

Middle

RICHARD

Last Name

KLEIN

Suffix

DDS

Business Name

BRANDON RICHARD KLEIN DDS

Original Issue Date

11/05/2021

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

AMBOY

State

Zip

61310

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024