SETH BRAKER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

Title

DMD

First Name

SETH

Last Name

BRAKER

Business Name

SETH BRAKER DMD

Original Issue Date

07/20/2022

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/30/2024