ROBERT JAMES BRANDT DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

CANCELLED

Business

First Name

ROBERT JAMES

Last Name

BRANDT

Suffix

DDS

Business Name

ROBERT JAMES BRANDT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005