DONALD G BRANDEAU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

DONALD G

Last Name

BRANDEAU

Suffix

DDS

Business Name

DONALD G BRANDEAU DDS

Original Issue Date

01/01/1998

Effective Date

10/05/2015

Expiration Date

09/30/2018

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018