BRIAN JOSEPH HABAS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRIAN

Middle

JOSEPH

Last Name

HABAS

Business Name

BRIAN JOSEPH HABAS DMD

Original Issue Date

04/08/2010

Effective Date

04/08/2010

Expiration Date

09/30/2012

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012