BRANDON ROGERS PRUSA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DDS

First Name

BRANDON

Middle

ROGERS

Last Name

PRUSA

Business Name

BRANDON ROGERS PRUSA DDS

Original Issue Date

10/05/2010

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024