BRIAN S WARDELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

WARDELL

Business Name

BRIAN S WARDELL

Original Issue Date

08/28/2002

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

WHEATON

State

Zip

60189

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2024