BROC ROBERT HAMMON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

Title

DMD

First Name

BROC

Middle

ROBERT

Last Name

HAMMON

Business Name

BROC ROBERT HAMMON DMD

Original Issue Date

01/29/2021

Effective Date

10/31/2021

Expiration Date

09/30/2024

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025