BRANDON E DREIER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

DREIER

Business Name

BRANDON E DREIER

Original Issue Date

08/16/2013

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018