SUSAN M W BRANDENBURG DDS Dentist License verification

SUSAN M W BRANDENBURG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

SUSAN M W

Last Name

BRANDENBURG

Suffix

DDS

Business Name

SUSAN M W BRANDENBURG DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005

Case Number

1999004355

Action

Revocation

Discipline Start Date

04/27/2001

Discipline Reason

Self-prescribed excessive amounts of controlled substances, failed to maintain adequate records or inventory of dispensing controlled substances and failed to submit proof of required continuing education hours.