BRENDAN D GRAHAM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

BRENDAN

Middle

Last Name

GRAHAM

Business Name

BRENDAN D GRAHAM

Original Issue Date

07/15/2010

Effective Date

05/11/2024

Expiration Date

09/30/2027

City

STREATOR

State

Zip

61364

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2024