BRIAN KEITH BICKNELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

First Name

BRIAN KEITH

Last Name

BICKNELL

Business Name

BRIAN KEITH BICKNELL

Original Issue Date

01/19/1984

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024