TAYLOR BRUBAKER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

Title

DMD

First Name

TAYLOR

Last Name

BRUBAKER

Business Name

TAYLOR BRUBAKER DMD

Original Issue Date

07/30/2025

Effective Date

07/30/2025

Expiration Date

09/30/2027

City

LANARK

State

Zip

61046

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2025