BRANDON JEFFREY YEAGER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRANDON

Middle

JEFFREY

Last Name

YEAGER

Business Name

BRANDON JEFFREY YEAGER DMD

Original Issue Date

06/15/2016

Effective Date

06/21/2018

Expiration Date

01/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022