BRYAN DANIEL HABET DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

Title

DMD

First Name

BRYAN

Middle

DANIEL

Last Name

HABET

Business Name

BRYAN DANIEL HABET DMD

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

SWANSEA

State

Zip

62226

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024