BRIAN PATRICK HAMEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

BRIAN

Middle

PATRICK

Last Name

HAMEL

Business Name

BRIAN PATRICK HAMEL

Original Issue Date

06/18/2015

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHATHAM

State

Zip

62629

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024