BRIANA JOY WILSON HUYNH TRAVIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

Title

DMD

First Name

BRIANA JOY

Middle

WILSON HUYNH

Last Name

TRAVIS

Business Name

BRIANA JOY WILSON HUYNH TRAVIS DMD

Original Issue Date

07/01/2023

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2024