COLLIN C BRANT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

First Name

COLLIN

Middle

Last Name

BRANT

Business Name

COLLIN C BRANT

Original Issue Date

12/09/2024

Effective Date

12/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025