BRANDON HEROTH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

Title

DDS

First Name

BRANDON

Last Name

HEROTH

Business Name

BRANDON HEROTH DDS

Original Issue Date

10/03/2019

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024