BRANDON JAMES HISSONG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

BRANDON

Middle

JAMES

Last Name

HISSONG

Suffix

DMD

Business Name

BRANDON JAMES HISSONG DMD

Original Issue Date

08/15/2000

Effective Date

06/26/2024

Expiration Date

09/30/2027

City

MONTICELLO

State

Zip

61856

County

PIATT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2024