BROOKE BRACY HOUSTON 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

BROOKE

Middle

BRACY

Last Name

HOUSTON

Business Name

BROOKE BRACY HOUSTON DMD

Original Issue Date

07/27/2020

Effective Date

12/23/2021

Expiration Date

09/30/2024

City

QUINCY

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025