JOHN PATRICK BREWER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

JOHN PATRICK

Last Name

BREWER

Business Name

JOHN PATRICK BREWER

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

SOUTH BELOIT

State

Zip

61080

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005