BRANT SCOTT PITTSLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

BRANT

Middle

SCOTT

Last Name

PITTSLEY

Business Name

BRANT SCOTT PITTSLEY

Original Issue Date

11/05/2009

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016